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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/S0264-410X(02)00748-X</identifier><identifier>PMID: 12706704</identifier><identifier>CODEN: VACCDE</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>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</subject><ispartof>Vaccine, 2003-05, Vol.21 (17), p.2133-2144</ispartof><rights>2002</rights><rights>2003 INIST-CNRS</rights><rights>Copyright Elsevier Limited May 16, 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-ca5b2498750ca13c81ab7b3b75ea23fd09bfe84e002dd9b22428118be3d921fe3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0264410X0200748X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14758632$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12706704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gorse, Geoffrey J</creatorcontrib><creatorcontrib>O’Connor, Theresa Z</creatorcontrib><creatorcontrib>Young, Stephen L</creatorcontrib><creatorcontrib>Mendelman, Paul M</creatorcontrib><creatorcontrib>Bradley, Suzanne F</creatorcontrib><creatorcontrib>Nichol, Kristin L</creatorcontrib><creatorcontrib>Strickland, James H</creatorcontrib><creatorcontrib>Paulson, Daniel M</creatorcontrib><creatorcontrib>Rice, Kathryn L</creatorcontrib><creatorcontrib>Foster, Runi A</creatorcontrib><creatorcontrib>Fulambarker, Ashok M</creatorcontrib><creatorcontrib>Shigeoka, John W</creatorcontrib><creatorcontrib>Kuschner, Ware G</creatorcontrib><creatorcontrib>Goodman, Richard P</creatorcontrib><creatorcontrib>Neuzil, Kathleen M</creatorcontrib><creatorcontrib>Wittes, Janet</creatorcontrib><creatorcontrib>Boardman, Kathy D</creatorcontrib><creatorcontrib>Peduzzi, Peter N</creatorcontrib><title>Efficacy trial of live, cold-adapted and inactivated influenza virus vaccines in older adults with chronic obstructive pulmonary disease: a VA cooperative study</title><title>Vaccine</title><addtitle>Vaccine</addtitle><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.</description><subject>Administration, Intranasal</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Disease Outbreaks</subject><subject>Efficacy</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infectious diseases</subject><subject>Influenza</subject><subject>Influenza vaccine</subject><subject>Influenza Vaccines - administration & dosage</subject><subject>Influenza Vaccines - immunology</subject><subject>Influenza Vaccines - therapeutic use</subject><subject>Influenza virus</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - immunology</subject><subject>Injections, Intramuscular</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Older people</subject><subject>Placebos</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - immunology</subject><subject>Reproducibility of Results</subject><subject>Respiratory function</subject><subject>United States - epidemiology</subject><subject>Vaccines</subject><subject>Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies</subject><subject>Vaccines, Inactivated - administration & dosage</subject><subject>Vaccines, Inactivated - immunology</subject><subject>Vaccines, Inactivated - therapeutic use</subject><subject>Viral diseases</subject><subject>Viral diseases of the respiratory system and ent viral diseases</subject><subject>Virology</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkkuLFDEUhYMoTtv6E5SAKCNYmldVqtzIMIwPGHDhg96FW8ktJkN1qiepKml_jT_V9AMHXDirEPKdk5ucQ8hTzt5wxqu3X5moVKE4W50y8YoxrepidY8seK1lIUpe3yeLv8gJeZTSNWOslLx5SE640KzSTC3I74uu8xbslo7RQ0-HjvZ-xtfUDr0rwMFmREchOOoD2NHPsNv70PUThl9AZx-nRGew1gdM-YBmHUYKburHRH_68YraqzgEb-nQpjFOOxOkm6lfDwHiljqfEBK-o0B_nOVrhw1G2DNpnNz2MXnQQZ_wyXFdku8fLr6dfyouv3z8fH52WVhVy7GwULZCNbUumQUubc2h1a1sdYkgZOdY03ZYK2RMONe0QihRc163KF0jeIdySV4efDdxuJkwjWbtk8W-h4DDlIyWQkgl9Z1gDkCIkskMnv4fLHNquhJaZfT5P-j1MMWQ32u4aqqqZDxHtyTlgbJxSCliZzbRr_MfGs7MrhRmXwqzS9wwYfalMKuse3Z0n9o1ulvVsQUZeHEEIFnouwjB-nTLKV3WlRSZe3_gMAcxe4wmWY_BovMR7Wjc4O8Y5Q9petYP</recordid><startdate>20030516</startdate><enddate>20030516</enddate><creator>Gorse, Geoffrey J</creator><creator>O’Connor, Theresa Z</creator><creator>Young, Stephen L</creator><creator>Mendelman, Paul M</creator><creator>Bradley, Suzanne F</creator><creator>Nichol, Kristin L</creator><creator>Strickland, James H</creator><creator>Paulson, Daniel M</creator><creator>Rice, Kathryn L</creator><creator>Foster, Runi A</creator><creator>Fulambarker, Ashok M</creator><creator>Shigeoka, John W</creator><creator>Kuschner, Ware G</creator><creator>Goodman, Richard P</creator><creator>Neuzil, Kathleen M</creator><creator>Wittes, Janet</creator><creator>Boardman, Kathy D</creator><creator>Peduzzi, Peter N</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>20030516</creationdate><title>Efficacy trial of live, cold-adapted and inactivated influenza virus vaccines in older adults with chronic obstructive pulmonary disease: a VA cooperative study</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-ca5b2498750ca13c81ab7b3b75ea23fd09bfe84e002dd9b22428118be3d921fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Administration, Intranasal</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Disease Outbreaks</topic><topic>Efficacy</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infectious diseases</topic><topic>Influenza</topic><topic>Influenza vaccine</topic><topic>Influenza Vaccines - administration & dosage</topic><topic>Influenza Vaccines - immunology</topic><topic>Influenza Vaccines - therapeutic use</topic><topic>Influenza virus</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - immunology</topic><topic>Injections, Intramuscular</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Older people</topic><topic>Placebos</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - immunology</topic><topic>Reproducibility of Results</topic><topic>Respiratory function</topic><topic>United States - epidemiology</topic><topic>Vaccines</topic><topic>Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies</topic><topic>Vaccines, Inactivated - administration & dosage</topic><topic>Vaccines, Inactivated - immunology</topic><topic>Vaccines, Inactivated - therapeutic use</topic><topic>Viral diseases</topic><topic>Viral diseases of the respiratory system and ent viral diseases</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gorse, Geoffrey J</creatorcontrib><creatorcontrib>O’Connor, Theresa Z</creatorcontrib><creatorcontrib>Young, Stephen L</creatorcontrib><creatorcontrib>Mendelman, Paul M</creatorcontrib><creatorcontrib>Bradley, Suzanne F</creatorcontrib><creatorcontrib>Nichol, Kristin L</creatorcontrib><creatorcontrib>Strickland, James H</creatorcontrib><creatorcontrib>Paulson, Daniel M</creatorcontrib><creatorcontrib>Rice, Kathryn L</creatorcontrib><creatorcontrib>Foster, Runi A</creatorcontrib><creatorcontrib>Fulambarker, Ashok M</creatorcontrib><creatorcontrib>Shigeoka, John W</creatorcontrib><creatorcontrib>Kuschner, Ware G</creatorcontrib><creatorcontrib>Goodman, Richard P</creatorcontrib><creatorcontrib>Neuzil, Kathleen M</creatorcontrib><creatorcontrib>Wittes, Janet</creatorcontrib><creatorcontrib>Boardman, Kathy D</creatorcontrib><creatorcontrib>Peduzzi, Peter N</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - 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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.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12706704</pmid><doi>10.1016/S0264-410X(02)00748-X</doi><tpages>12</tpages></addata></record> |
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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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