Safety and immunogenicity of Chiron/Biocine® recombinant acellular pertussis-diphtheria-tetanus vaccine in infants and toddlers

OBJECTIVE.To evaluate the safety and immunogenicity of the recombinant acellular pertussisdiphtheria-tetanus (aPDT) vaccine (C-aPDT, Chiron/Biocine®). STUDY DESIGN.This is a randomized blinded trial evaluating the safety and immunogenicity of the recombinant aPDT vaccine (C-aPDT, Chiron/Biocine®) in...

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Veröffentlicht in:The Pediatric infectious disease journal 1997-01, Vol.16 (1), p.53-58
Hauptverfasser: BLACK, STEVEN B, SHINEFIELD, HENRY R, BERGEN, RANDY, HART, CARY, KREMERS, ROBERT, LAVETTER, ALLAN, LEMESURIER, JIM, MOROZUMI, PIUS A, RAY, PAULA, LEWIS, EDWIN M, FIREMAN, BRUCE, SCHWALBE, JOAN, HALLAM, PATRICIA, SHANDLING, MITCHELL, DEKKER, CORNELIA, GRANOFF, DAN M, IZU, ALLEN, PODDA, AUDINO
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container_end_page 58
container_issue 1
container_start_page 53
container_title The Pediatric infectious disease journal
container_volume 16
creator BLACK, STEVEN B
SHINEFIELD, HENRY R
BERGEN, RANDY
HART, CARY
KREMERS, ROBERT
LAVETTER, ALLAN
LEMESURIER, JIM
MOROZUMI, PIUS A
RAY, PAULA
LEWIS, EDWIN M
FIREMAN, BRUCE
SCHWALBE, JOAN
HALLAM, PATRICIA
SHANDLING, MITCHELL
DEKKER, CORNELIA
GRANOFF, DAN M
IZU, ALLEN
PODDA, AUDINO
description OBJECTIVE.To evaluate the safety and immunogenicity of the recombinant acellular pertussisdiphtheria-tetanus (aPDT) vaccine (C-aPDT, Chiron/Biocine®). STUDY DESIGN.This is a randomized blinded trial evaluating the safety and immunogenicity of the recombinant aPDT vaccine (C-aPDT, Chiron/Biocine®) in 2000 infant recipients compared with 498 controls who received whole cell diphtheria-pertussis-tetanus (wDPT; Connaught) vaccine at 2, 4 and 6 months of age. In addition the safety and immunogenicity of the same C-aPDT vaccine were evaluated as a booster dose in a subset of the same population when given at 15 to 18 months of age and compared with licensed Lederle aPDT vaccine. RESULTS.The C-aPDT vaccine was associated with very few local or systemic reactions when compared with wDPT. In toddlers the local and systemic side effects observed were similar after either acellular vaccine. When the immunogenicity of the C-aPDT vaccine was compared with the wDPT (Connaught) in infancy, the vaccines were equivalent for anti-diphtheria response, the wDPT developed higher anti-tetanus response and the C-aPDT vaccine was significantly more immunogenic for all other antigens tested. In toddlers the C-aPDT acellular vaccine exhibited equal or improved immunogenicity for antigens tested as compared with Lederle aPDT except for a higher anti-filamentous hemagglutinin response with the Lederle aPDT vaccine. CONCLUSION.The Chiron/Biocine® aPDT vaccine offers an improved safety profile as well as improved immunogenicity when compared with a licensed wDPT product.
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STUDY DESIGN.This is a randomized blinded trial evaluating the safety and immunogenicity of the recombinant aPDT vaccine (C-aPDT, Chiron/Biocine®) in 2000 infant recipients compared with 498 controls who received whole cell diphtheria-pertussis-tetanus (wDPT; Connaught) vaccine at 2, 4 and 6 months of age. In addition the safety and immunogenicity of the same C-aPDT vaccine were evaluated as a booster dose in a subset of the same population when given at 15 to 18 months of age and compared with licensed Lederle aPDT vaccine. RESULTS.The C-aPDT vaccine was associated with very few local or systemic reactions when compared with wDPT. In toddlers the local and systemic side effects observed were similar after either acellular vaccine. When the immunogenicity of the C-aPDT vaccine was compared with the wDPT (Connaught) in infancy, the vaccines were equivalent for anti-diphtheria response, the wDPT developed higher anti-tetanus response and the C-aPDT vaccine was significantly more immunogenic for all other antigens tested. In toddlers the C-aPDT acellular vaccine exhibited equal or improved immunogenicity for antigens tested as compared with Lederle aPDT except for a higher anti-filamentous hemagglutinin response with the Lederle aPDT vaccine. CONCLUSION.The Chiron/Biocine® aPDT vaccine offers an improved safety profile as well as improved immunogenicity when compared with a licensed wDPT product.</description><identifier>ISSN: 0891-3668</identifier><identifier>EISSN: 1532-0987</identifier><identifier>DOI: 10.1097/00006454-199701000-00012</identifier><identifier>PMID: 9002102</identifier><language>eng</language><publisher>United States: Williams &amp; Wilkins</publisher><subject>Antibodies, Bacterial - analysis ; Bordetella pertussis - immunology ; Child, Preschool ; Clostridium tetani - immunology ; Corynebacterium diphtheriae - immunology ; Diphtheria-Tetanus-acellular Pertussis Vaccines ; Diphtheria-Tetanus-Pertussis Vaccine - administration &amp; dosage ; Diphtheria-Tetanus-Pertussis Vaccine - adverse effects ; Diphtheria-Tetanus-Pertussis Vaccine - immunology ; Double-Blind Method ; Humans ; Immunization Schedule ; Immunization, Secondary ; Infant ; Prospective Studies</subject><ispartof>The Pediatric infectious disease journal, 1997-01, Vol.16 (1), p.53-58</ispartof><rights>Williams &amp; Wilkins 1997. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3552-ea15d7852f5729cc0dffbdaa44cfa5cec1f11a3e385b6e1a251a1484bbb063d73</citedby><cites>FETCH-LOGICAL-c3552-ea15d7852f5729cc0dffbdaa44cfa5cec1f11a3e385b6e1a251a1484bbb063d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9002102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BLACK, STEVEN B</creatorcontrib><creatorcontrib>SHINEFIELD, HENRY R</creatorcontrib><creatorcontrib>BERGEN, RANDY</creatorcontrib><creatorcontrib>HART, CARY</creatorcontrib><creatorcontrib>KREMERS, ROBERT</creatorcontrib><creatorcontrib>LAVETTER, ALLAN</creatorcontrib><creatorcontrib>LEMESURIER, JIM</creatorcontrib><creatorcontrib>MOROZUMI, PIUS A</creatorcontrib><creatorcontrib>RAY, PAULA</creatorcontrib><creatorcontrib>LEWIS, EDWIN M</creatorcontrib><creatorcontrib>FIREMAN, BRUCE</creatorcontrib><creatorcontrib>SCHWALBE, JOAN</creatorcontrib><creatorcontrib>HALLAM, PATRICIA</creatorcontrib><creatorcontrib>SHANDLING, MITCHELL</creatorcontrib><creatorcontrib>DEKKER, CORNELIA</creatorcontrib><creatorcontrib>GRANOFF, DAN M</creatorcontrib><creatorcontrib>IZU, ALLEN</creatorcontrib><creatorcontrib>PODDA, AUDINO</creatorcontrib><title>Safety and immunogenicity of Chiron/Biocine® recombinant acellular pertussis-diphtheria-tetanus vaccine in infants and toddlers</title><title>The Pediatric infectious disease journal</title><addtitle>Pediatr Infect Dis J</addtitle><description>OBJECTIVE.To evaluate the safety and immunogenicity of the recombinant acellular pertussisdiphtheria-tetanus (aPDT) vaccine (C-aPDT, Chiron/Biocine®). STUDY DESIGN.This is a randomized blinded trial evaluating the safety and immunogenicity of the recombinant aPDT vaccine (C-aPDT, Chiron/Biocine®) in 2000 infant recipients compared with 498 controls who received whole cell diphtheria-pertussis-tetanus (wDPT; Connaught) vaccine at 2, 4 and 6 months of age. In addition the safety and immunogenicity of the same C-aPDT vaccine were evaluated as a booster dose in a subset of the same population when given at 15 to 18 months of age and compared with licensed Lederle aPDT vaccine. RESULTS.The C-aPDT vaccine was associated with very few local or systemic reactions when compared with wDPT. In toddlers the local and systemic side effects observed were similar after either acellular vaccine. When the immunogenicity of the C-aPDT vaccine was compared with the wDPT (Connaught) in infancy, the vaccines were equivalent for anti-diphtheria response, the wDPT developed higher anti-tetanus response and the C-aPDT vaccine was significantly more immunogenic for all other antigens tested. In toddlers the C-aPDT acellular vaccine exhibited equal or improved immunogenicity for antigens tested as compared with Lederle aPDT except for a higher anti-filamentous hemagglutinin response with the Lederle aPDT vaccine. CONCLUSION.The Chiron/Biocine® aPDT vaccine offers an improved safety profile as well as improved immunogenicity when compared with a licensed wDPT product.</description><subject>Antibodies, Bacterial - analysis</subject><subject>Bordetella pertussis - immunology</subject><subject>Child, Preschool</subject><subject>Clostridium tetani - immunology</subject><subject>Corynebacterium diphtheriae - immunology</subject><subject>Diphtheria-Tetanus-acellular Pertussis Vaccines</subject><subject>Diphtheria-Tetanus-Pertussis Vaccine - administration &amp; dosage</subject><subject>Diphtheria-Tetanus-Pertussis Vaccine - adverse effects</subject><subject>Diphtheria-Tetanus-Pertussis Vaccine - immunology</subject><subject>Double-Blind Method</subject><subject>Humans</subject><subject>Immunization Schedule</subject><subject>Immunization, Secondary</subject><subject>Infant</subject><subject>Prospective Studies</subject><issn>0891-3668</issn><issn>1532-0987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcuOFSEQhonRjMfRRzDplTscLk1flnriLZnEhbom1VDYaDccgXYyO5_Ih_DJ5Mw5zk4CqUD9f1Xqg5CGs5ecjf0Vq6trVUv5OPaM1xuth4sHZMeVFJSNQ_-Q7Ngwciq7bnhMnuT8rUpky9kFuRgZE5yJHfn1CRyW2waCbfy6biF-xeCNr0_RNfvZpxiuXvtofMA_v5uEJq6TDxBKAwaXZVsgNQdMZcvZZ2r9YS4zJg-0YIGw5eYnmKO58aFuV435rlmJ1i6Y8lPyyMGS8dk5XpIvb9983r-n1x_ffdi_uqZGKiUoAle2H5RwqhejMcw6N1mAtjUOlEHDHecgUQ5q6pCDUBx4O7TTNLFO2l5ekhenuocUf2yYi159Pk4AAeOWdT_U6iMXVTichCbFnBM6fUh-hXSrOdNH-PoffH0PX9_Br9bn5x7btKK9N55p13x7yt_EpdTZvy_bDSY9Iyxl1v_7U_kXyDaTfw</recordid><startdate>199701</startdate><enddate>199701</enddate><creator>BLACK, STEVEN B</creator><creator>SHINEFIELD, HENRY R</creator><creator>BERGEN, RANDY</creator><creator>HART, CARY</creator><creator>KREMERS, ROBERT</creator><creator>LAVETTER, ALLAN</creator><creator>LEMESURIER, JIM</creator><creator>MOROZUMI, PIUS A</creator><creator>RAY, PAULA</creator><creator>LEWIS, EDWIN M</creator><creator>FIREMAN, BRUCE</creator><creator>SCHWALBE, JOAN</creator><creator>HALLAM, PATRICIA</creator><creator>SHANDLING, MITCHELL</creator><creator>DEKKER, CORNELIA</creator><creator>GRANOFF, DAN M</creator><creator>IZU, ALLEN</creator><creator>PODDA, AUDINO</creator><general>Williams &amp; 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dosage</topic><topic>Diphtheria-Tetanus-Pertussis Vaccine - adverse effects</topic><topic>Diphtheria-Tetanus-Pertussis Vaccine - immunology</topic><topic>Double-Blind Method</topic><topic>Humans</topic><topic>Immunization Schedule</topic><topic>Immunization, Secondary</topic><topic>Infant</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BLACK, STEVEN B</creatorcontrib><creatorcontrib>SHINEFIELD, HENRY R</creatorcontrib><creatorcontrib>BERGEN, RANDY</creatorcontrib><creatorcontrib>HART, CARY</creatorcontrib><creatorcontrib>KREMERS, ROBERT</creatorcontrib><creatorcontrib>LAVETTER, ALLAN</creatorcontrib><creatorcontrib>LEMESURIER, JIM</creatorcontrib><creatorcontrib>MOROZUMI, PIUS A</creatorcontrib><creatorcontrib>RAY, PAULA</creatorcontrib><creatorcontrib>LEWIS, EDWIN M</creatorcontrib><creatorcontrib>FIREMAN, BRUCE</creatorcontrib><creatorcontrib>SCHWALBE, JOAN</creatorcontrib><creatorcontrib>HALLAM, PATRICIA</creatorcontrib><creatorcontrib>SHANDLING, MITCHELL</creatorcontrib><creatorcontrib>DEKKER, CORNELIA</creatorcontrib><creatorcontrib>GRANOFF, DAN M</creatorcontrib><creatorcontrib>IZU, ALLEN</creatorcontrib><creatorcontrib>PODDA, AUDINO</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Pediatric infectious disease journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BLACK, STEVEN B</au><au>SHINEFIELD, HENRY R</au><au>BERGEN, RANDY</au><au>HART, CARY</au><au>KREMERS, ROBERT</au><au>LAVETTER, ALLAN</au><au>LEMESURIER, JIM</au><au>MOROZUMI, PIUS A</au><au>RAY, PAULA</au><au>LEWIS, EDWIN M</au><au>FIREMAN, BRUCE</au><au>SCHWALBE, JOAN</au><au>HALLAM, PATRICIA</au><au>SHANDLING, MITCHELL</au><au>DEKKER, CORNELIA</au><au>GRANOFF, DAN M</au><au>IZU, ALLEN</au><au>PODDA, AUDINO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety and immunogenicity of Chiron/Biocine® recombinant acellular pertussis-diphtheria-tetanus vaccine in infants and toddlers</atitle><jtitle>The Pediatric infectious disease journal</jtitle><addtitle>Pediatr Infect Dis J</addtitle><date>1997-01</date><risdate>1997</risdate><volume>16</volume><issue>1</issue><spage>53</spage><epage>58</epage><pages>53-58</pages><issn>0891-3668</issn><eissn>1532-0987</eissn><abstract>OBJECTIVE.To evaluate the safety and immunogenicity of the recombinant acellular pertussisdiphtheria-tetanus (aPDT) vaccine (C-aPDT, Chiron/Biocine®). STUDY DESIGN.This is a randomized blinded trial evaluating the safety and immunogenicity of the recombinant aPDT vaccine (C-aPDT, Chiron/Biocine®) in 2000 infant recipients compared with 498 controls who received whole cell diphtheria-pertussis-tetanus (wDPT; Connaught) vaccine at 2, 4 and 6 months of age. In addition the safety and immunogenicity of the same C-aPDT vaccine were evaluated as a booster dose in a subset of the same population when given at 15 to 18 months of age and compared with licensed Lederle aPDT vaccine. RESULTS.The C-aPDT vaccine was associated with very few local or systemic reactions when compared with wDPT. In toddlers the local and systemic side effects observed were similar after either acellular vaccine. When the immunogenicity of the C-aPDT vaccine was compared with the wDPT (Connaught) in infancy, the vaccines were equivalent for anti-diphtheria response, the wDPT developed higher anti-tetanus response and the C-aPDT vaccine was significantly more immunogenic for all other antigens tested. In toddlers the C-aPDT acellular vaccine exhibited equal or improved immunogenicity for antigens tested as compared with Lederle aPDT except for a higher anti-filamentous hemagglutinin response with the Lederle aPDT vaccine. CONCLUSION.The Chiron/Biocine® aPDT vaccine offers an improved safety profile as well as improved immunogenicity when compared with a licensed wDPT product.</abstract><cop>United States</cop><pub>Williams &amp; Wilkins</pub><pmid>9002102</pmid><doi>10.1097/00006454-199701000-00012</doi><tpages>6</tpages></addata></record>
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subjects Antibodies, Bacterial - analysis
Bordetella pertussis - immunology
Child, Preschool
Clostridium tetani - immunology
Corynebacterium diphtheriae - immunology
Diphtheria-Tetanus-acellular Pertussis Vaccines
Diphtheria-Tetanus-Pertussis Vaccine - administration & dosage
Diphtheria-Tetanus-Pertussis Vaccine - adverse effects
Diphtheria-Tetanus-Pertussis Vaccine - immunology
Double-Blind Method
Humans
Immunization Schedule
Immunization, Secondary
Infant
Prospective Studies
title Safety and immunogenicity of Chiron/Biocine® recombinant acellular pertussis-diphtheria-tetanus vaccine in infants and toddlers
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