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Published on: May 6, 2015
DTaP5-IPV-Hib-HepB, a hexavalent vaccine for infants and toddlers
Andrew W Lee1, Emilia Jordanov2, Florence Boisnard3
1a Merck & Co., Inc. , Kenilworth , NJ , USA.
Insights
A new hexavalent vaccine combining diphtheria, tetanus, pertussis, hepatitis B, H influenzae type b, and polio was found safe and effective in infants. This combination vaccine simplifies immunization schedules and may improve vaccination rates.
Area of Science:
- Pediatric Vaccinology
- Infectious Disease Prevention
Background:
- Combination vaccines simplify childhood immunization schedules and reduce the number of injections.
- Currently, only 5-valent DTaP-based vaccines are licensed in the U.S.
Purpose of the Study:
- To describe a new hexavalent combination vaccine (DTaP5-IPV-Hib-HepB).
- To evaluate the immunogenicity and safety of this new vaccine in infants.
Main Methods:
- Infants received the DTaP5-IPV-Hib-HepB vaccine on various schedules, including a 2, 4, and 6-month schedule.
- Antibody responses to each component vaccine were measured.
Main Results:
- The hexavalent vaccine induced antibody responses similar to individual component vaccines.
- The vaccine was found to be safe, with higher rates of mild fever but no significant safety concerns.
- The vaccine is expected to protect against diphtheria, tetanus, pertussis, hepatitis B, H. influenzae type b, and polio.
Conclusions:
- The DTaP5-IPV-Hib-HepB hexavalent vaccine demonstrates favorable immunogenicity and safety profiles in infants.
- Incorporation into the U.S. immunization schedule could enhance vaccination coverage and timeliness.
- This vaccine would expand the range of combination vaccines available in the European Union market.
Introduction:
Combination vaccines reduce the 'shot burden' and simplify the childhood immunization schedule. Only 5-valent DTaP-based vaccines are licensed in the U.S. Areas covered: A new combination vaccine - DTaP5-IPV-Hib-HepB - is described, which induces antibody responses in infants (given in different schedules, including a 2, 4, and 6-month schedule) that are similar to the respective component vaccines. The vaccine appears to be safe and would be expected to protect against six diseases: diphtheria, tetanus, pertussis, hepatitis B, H influenzae type b, and polio. Administration is associated with higher rates of mild fever, but without significant safety signals. Expert commentary: Incorporation of this hexavalent vaccine into the U.S. schedule could improve coverage rates and timeliness, and addition to the E.U. market would add depth to the available repertoire of combination vaccines.
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