Immunogenicity and reactogenicity of two diphtheria-tetanus-whole cell pertussis vaccines in Iranian pre-school

Saeed Zarei1, Mahmood Jeddi-Tehrani, Mohammad Mehdi Akhondi

  • 1Monoclonal Antibody Research Center; Avicenna Research Institute; Academic Center for Education, Culture, and Research (ACECR); Tehran, Iran; Reproductive Immunology Research Center; Avicenna Research Institute; ACECR; Tehran, Iran.

Insights

A study compared two diphtheria-tetanus-whole cell pertussis (DTwP) vaccines in Iranian children. The local DTwP vaccine showed lower immunogenicity against pertussis and more side effects than the commercial DTwP-Pasteur vaccine.

Area of Science:

  • Immunology
  • Vaccinology
  • Pediatrics

Background:

  • Diphtheria-tetanus-whole cell pertussis (DTwP) vaccines are crucial for preschool child immunization.
  • Evaluating local vaccine efficacy and safety against established commercial vaccines is essential for public health.

Purpose of the Study:

  • To compare the immunogenicity and reactogenicity of a local DTwP vaccine versus a commercial DTwP-Pasteur vaccine in Iranian preschool children.
  • To assess antibody responses to diphtheria, tetanus, and pertussis antigens.
  • To evaluate local and systemic adverse reactions following vaccination.

Main Methods:

  • A randomized, double-blind, multicenter prospective study involving 672 children aged 4-6 years.
  • Administration of either a local DTwP vaccine or DTwP-Pasteur vaccine according to the national immunization schedule.
  • Assessment of immunogenicity via ELISA and reactogenicity through parental diary cards for seven days post-vaccination.

Main Results:

  • No significant difference in immunogenicity against diphtheria and tetanus was observed between the two vaccines.
  • The local DTwP vaccine demonstrated significantly lower antibody titers against pertussis compared to DTwP-Pasteur (30.2 EU/ml vs. 47.9 EU/ml).
  • The local DTwP vaccine was associated with significantly higher frequencies of local and systemic reactions, including pain and fever.

Conclusions:

  • While immunogenicity for diphtheria and tetanus was comparable, the local DTwP vaccine was less effective against pertussis.
  • The local vaccine exhibited a higher reactogenicity profile, suggesting potential differences in bacterial strain, preparation, or formulation.
  • These findings highlight the need for further investigation into the local pertussis vaccine's components to improve efficacy and reduce adverse events.