首页|一款四价流感病毒裂解疫苗在9-59岁易感人群中免疫原性和安全性的Ⅳ期临床试验

一款四价流感病毒裂解疫苗在9-59岁易感人群中免疫原性和安全性的Ⅳ期临床试验

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目的 评价一款四价流感病毒裂解疫苗[Quadrivalent influenza inactivated vaccine(split-virion),IIV4]在 9-59岁易感人群中的免疫原性和安全性.方法 在贵州省某市招募9-59岁健康受试者接种1剂次IIV4,检测免疫前和免疫后28 d血清A(H1N1)、A(H3N2)、BV和BY亚型流感病毒血凝抑制(Haemagglutination inhibition,HI)抗体,分析免疫前任何亚型流感病毒抗体阴性(滴度<1∶10)的受试者免疫后抗体阳转率和几何平均滴度(GMT),以及免疫后0-28 d不良事件发生率.结果 受试者接种1剂次IIV4后A(H1N1)、A(H3N2)、BV、BY亚型流感病毒HI抗体阳转率分别为 93.00%(332/357)、86.32%(303/351)、89.64%(545/608)、100%(8/8)(95%CI:89.84%-95.42%、82.28%-89.74%、86.94%-91.95%、63.06%-100%);GMT(1:)分别为 267.65、100.59、81.94、113.14,分别是免疫前的53.53倍、20.12倍、16.39倍、22.63倍.受试者接种IIV4后与疫苗相关的不良事件发生率为10.95%(96/877),其中局部不良事件(主要为接种部位疼痛和瘙痒)、全身不良事件(主要为发热和咳嗽)分别为6.50%、5.59%;1级、2级、3级不良事件分别为7.98%、1.82%、1.14%,未发生4级或严重不良事件.结论 本次临床试验显示IIV4在9-59岁易感人群中具有良好的安全性和免疫原性.
Immunogenicity and safety of a quadrivalent influenza inactivated vaccine(split-virion)in a susceptible population 9-59 years of age:a phase Ⅳ clinical trial
Objective To evaluate immunogenicity and safety of a quadrivalent influenza inactivated vaccine(split-virion)(IIV4)in a susceptible population aged 9-59 years.Methods We recruited healthy individuals aged 9-59 years in a prefecture of Guizhou province to administer one dose of IIV4 to each subject.We tested sera for haemagglutination inhibition(HI)antibodies against A(H1N1),A(H3N2),BV,and BY subtypes of influenza virus before and 28 days after vaccination.We analyzed seroconversion rates,geometric mean titers(GMT),and incidences of adverse events 0-28 days after vaccination among subjects who were negative to antibodies against any subtype of influenza virus(titer<1∶10)before vaccination.Results Seroconversion rates of HI antibody against A(H1N1),A(H3N2),BV,and BY influenza viruses after one dose of IIV4 were 93.00%(332/357),86.32%(303/351),89.64%(545/608),and 100%(8/8),respectively(95%Cis:89.84%-95.42%,82.28%-89.74%,86.94%-91.95%,and 63.06%-100%),with GMTs(1:)being 267.65,100.59,81.94,and 113.14,which were 53.53,20.12,16.39,and 22.63 times GMTs before vaccination.The incidence of vaccination-associated adverse events was 10.95%(96/877),with 6.50%local adverse events(mainly injection-site pain and pruritus)and 5.59%systemic adverse events(mainly fever and cough).Incidences for grade 1,2,and 3 adverse events were 7.98%,1.82%,and 1.14%;no grade 4 or serious adverse events occurred.Conclusion The clinical trial showed that IIV had good safety and immunogenicity profiles among susceptible individuals aged 9-59 years.

Quadrivalent influenza inactivated vaccine(split-virion)ImmunogenicitySafetySusceptible populationPhase Ⅳ clinical trial

谭雪、雷世光、张锐智、管庆虎、穆秋玥、魏绍峰

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贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州贵阳 561113

贵州省疾病预防控制中心,贵州贵阳 561113

四价流感病毒裂解疫苗 免疫原性 安全性 易感人群 Ⅳ期临床试验

2024

中国疫苗和免疫
中国疾病预防控制中心

中国疫苗和免疫

CSTPCD北大核心
影响因子:2.311
ISSN:1006-916X
年,卷(期):2024.30(4)