Immunogenicity and safety of high-dose quadrivalent influenza vaccine in older adults in Taiwan: A phase III, randomized, multi-center study

被引:3
作者
Chen, Jau-Yuan [1 ,2 ]
Hsieh, Szu-Min [3 ]
Hwang, Shinn-Jang [4 ,5 ]
Liu, Chiu-Shong [6 ]
Li, Xiaoling [7 ]
Fournier, Marion [8 ]
Yeh, Ting-Yu [9 ]
Yin, J. Kevin [7 ,10 ]
Samson, Sandrine, I [8 ]
机构
[1] Chang Gung Mem Hosp, Linkou Branch, Taoyuan, Taiwan
[2] Chang Gung Univ, Coll Med, Taoyuan, Taiwan
[3] Natl Taiwan Univ Hosp, Taipei, Taiwan
[4] Taipei Vet Gen Hosp, Taipei, Taiwan
[5] Natl Yang Ming Chiao Tung Univ, Sch Med, Taipei, Taiwan
[6] China Med Univ Hosp, Taichung, Taiwan
[7] Sanofi, 38 Beach Rd,18-11 South Beach Tower, Singapore 189767, Singapore
[8] Sanofi, Lyon, France
[9] Sanofi, Taipei, Taiwan
[10] Univ Sydney, Fac Med & Hlth, Sydney, NSW, Australia
关键词
Immunogenicity; Safety; High dose quadrivalent influenza vaccine; Older adults; Clinical study; Taiwan; MORTALITY; EFFICACY;
D O I
10.1016/j.vaccine.2022.09.078
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: High-dose influenza vaccine offers better protection against influenza/associated complica-tions compared with standard-dose formulation. We evaluated immunogenicity and safety of high-dose influenza vaccine (QIV-HD) and standard-dose (QIV-SD) in older adults (>= 65 years) in Taiwan. Methods: This was a phase III, randomized, modified double-blind, active-controlled, multi-center, descriptive study in older adults. Participants (N = 165) were randomized 1:1 to receive QIV-HD or QIV-SD vaccine (clinicaltrials.gov#NCT04537234). Results: For all four influenza strains, geometric means titers (GMTs) of hemagglutination inhibition were higher for the QIV-HD than QIV-SD with adjusted GMT ratios (95 % CI) of 2.65 (1.87-3.75) for A/H1N1; 1.76 (1.31-2.38) for A/H3N2; 2.60 (1.90-3.56) for B/Victoria; and 2.01 (1.57-2.56) for B/Yamagata. The seroconversion was higher for QIV-HD than QIV-SD with similar safety profiles across both groups. Conclusion: QIV-HD was highly immunogenic for four influenza strains and have acceptable safety profile in older adults aged >= 65 years in Taiwan. CO 2022 Published by Elsevier Ltd.
引用
收藏
页码:6450 / 6454
页数:5
相关论文
共 13 条
[1]   Safety and immunogenicity of high-dose quadrivalent influenza vaccine in adults ≥65 years of age: A phase 3 randomized clinical trial [J].
Chang, Lee-Jah ;
Meng, Ya ;
Janosczyk, Helene ;
Landolfi, Victoria ;
Talbot, H. Keipp ;
Boone, Gary ;
Briskin, Toby ;
Cannon, Kevin ;
Christensen, Shane ;
Davis, Matthew ;
Miel, Emmanuel ;
Eck, John ;
Essink, Brandon ;
Finn, Daniel ;
Fried, David ;
Gorse, Geoffrey ;
Griffin, Carl ;
Hollister, Ripley ;
Jacqmein, Jeffry ;
Johnson, Mark ;
Julien, Katie ;
Kay, Jennifer ;
Kirstein, Judith ;
Koehler, Timothy ;
Levin, Michael ;
Martin, Earl ;
Matherne, Paul ;
Peterson, James ;
Poling, Terry ;
Saleh, Jamshid ;
Segall, Nathan ;
Seiden, David ;
Strout, Cynthia ;
Turner, Mark ;
Varano, Susann ;
Wilson, Jonathan ;
Winkle, Peter ;
Wombolt, Duane ;
Abel, Keshia ;
Babyak, Jennifer ;
Bethuel, Karine ;
Boyle, Jacqueline ;
Broudic, Karine ;
De Bruijn, Iris ;
De Sousa, Jennifer ;
Drago, Erica ;
Flores, Alma ;
Francis, Deborah ;
Hicks, Bryony ;
Fontvieille, Anne-Isabelle .
VACCINE, 2019, 37 (39) :5825-5834
[2]   Global Seasonal Influenza Mortality Estimates: A Comparison of 3 Different Approaches [J].
Cozza, Vanessa ;
Campbell, Harry ;
Chang, Howard H. ;
Iuliano, A. Danielle ;
Paget, John ;
Patel, Neha N. ;
Reiner, Robert C. ;
Troeger, Chris ;
Viboud, Cecile ;
Bresee, Joseph S. ;
Fitzner, Julia .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2021, 190 (05) :718-727
[3]   Efficacy of High-Dose versus Standard-Dose Influenza Vaccine in Older Adults [J].
DiazGranados, Carlos A. ;
Dunning, Andrew J. ;
Kimmel, Murray ;
Kirby, Daniel ;
Treanor, John ;
Collins, Avi ;
Pollak, Richard ;
Christoff, Janet ;
Earl, John ;
Landolfi, Victoria ;
Martin, Earl ;
Gurunathan, Sanjay ;
Nathan, Richard ;
Greenberg, David P. ;
Tornieporth, Nadia G. ;
Decker, Michael D. ;
Talbot, H. Keipp .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (07) :635-645
[4]   Randomized, Double-Blind Controlled Phase 3 Trial Comparing the Immunogenicity of High-Dose and Standard-Dose Influenza Vaccine in Adults 65 Years of Age and Older [J].
Falsey, Ann R. ;
Treanor, John J. ;
Tornieporth, Nadia ;
Capellan, Jose ;
Gorse, Geoffrey J. .
JOURNAL OF INFECTIOUS DISEASES, 2009, 200 (02) :172-180
[5]   Comparative effectiveness of high-dose versus standard-dose influenza vaccination on numbers of US nursing home residents admitted to hospital: a cluster-randomised trial [J].
Gravenstein, Stefan ;
Davidson, H. Edward ;
Taljaard, Monica ;
Ogarek, Jessica ;
Gozalo, Pedro ;
Han, Lisa ;
Mor, Vincent .
LANCET RESPIRATORY MEDICINE, 2017, 5 (09) :738-746
[6]   Estimates of global seasonal influenza-associated respiratory mortality: a modelling study [J].
Iuliano, A. Danielle ;
Roguski, Katherine M. ;
Chang, Howard H. ;
Muscatello, David J. ;
Palekar, Rakhee ;
Tempia, Stefano ;
Cohen, Cheryl ;
Gran, Jon Michael ;
Schanzer, Dena ;
Cowling, Benjamin J. ;
Wu, Peng ;
Kyncl, Jan ;
Ang, Li Wei ;
Park, Minah ;
Redlberger-Fritz, Monika ;
Yu, Hongjie ;
Espenhain, Laura ;
Krishnan, Anand ;
Emukule, Gideon ;
van Asten, Liselotte ;
da Silva, Susana Pereira ;
Aungkulanon, Suchunya ;
Buchholz, Udo ;
Widdowson, Marc-Alain ;
Bresee, Joseph S. ;
Azziz-Baumgartner, Eduardo ;
Cheng, Po-Yung ;
Dawood, Fatimah ;
Foppa, Ivo ;
Olsen, Sonja ;
Haber, Michael ;
Jeffers, Caprichia ;
MacIntyre, C. Raina ;
Newall, Anthony T. ;
Wood, James G. ;
Kundi, Michael ;
PopowKraupp, Therese ;
Ahmed, Makhdum ;
Rahman, Mahmudur ;
Marinho, Fatima ;
Sotomayor Proschle, C. Viviana ;
Vergara Mallegas, Natalia ;
Feng, Luzhao ;
Sa, Li ;
Barbosa-Ramirez, Juliana ;
Malo Sanchez, Diana ;
Abarca Gomez, Leandra ;
Badilla Vargas, Xiomara ;
Acosta Herrera, Betsy ;
Josefa Llanes, Maria .
LANCET, 2018, 391 (10127) :1285-1300
[7]   Efficacy and effectiveness of high-dose influenza vaccine in older adults by circulating strain and antigenic match: An updated systematic review and meta-analysis [J].
Lee, Jason K. H. ;
Lam, Gary K. L. ;
Shin, Thomas ;
Samson, Sandrine, I ;
Greenberg, David P. ;
Chit, Ayman .
VACCINE, 2021, 39 :A24-A35
[8]   The disease burden of influenza beyond respiratory illness [J].
Macias, Alejandro E. ;
McElhaney, Janet E. ;
Chaves, Sandra S. ;
Nealon, Joshua ;
Nunes, Marta C. ;
Samson, Sandrine, I ;
Seet, Bruce T. ;
Weinke, Thomas ;
Yu, Hongjie .
VACCINE, 2021, 39 :A6-A14
[9]   Influenza control in the 21st century: Optimizing protection of older adults [J].
Monto, Arnold S. ;
Ansaldi, Filippo ;
Aspinall, Richard ;
McElhaney, Janet E. ;
Montano, Luis F. ;
Nichol, Kristin L. ;
Puig-Barbera, Joan ;
Schmitt, Joe ;
Stephenson, Iain .
VACCINE, 2009, 27 (37) :5043-5053
[10]   Estimating public health and economic benefits along 10 years of Fluzone® High Dose in the United States [J].
Net, Pierre ;
Colrat, Florian ;
Costa, Mafalda Nascimento ;
Bianic, Florence ;
Thommes, Edward ;
Alvarez, Fabian P. .
VACCINE, 2021, 39 :A56-A69