Safety of the Inactivated Japanese Encephalitis Virus Vaccine IXIARO in Children: An Open-label, Randomized, Active-controlled, Phase 3 Study
Katrin L Dubischar1, Vera Kadlecek, Benjamin Sablan
1From the *Valneva Austria GmbH, Vienna, Austria; †Department of Pediatrics, University of the Philippines, ‡Department of Health, Research Institute for Tropical Medicine, and §Section of Infectious and Tropical Diseases, Department of Pediatrics, Universtity of the Philippines, College of Medicine, Philippine General Hospital, Manila, Philippines; and ¶Department of Health, Research Institute for Tropical Medicine, Muntinlupa, Philippines.
Insights
The Japanese encephalitis virus vaccine IXIARO demonstrated a comparable safety profile to control vaccines in children. Adverse event rates were similar across age groups, with fewer events seen in older children.
Area of Science:
- Pediatric Vaccinology
- Infectious Disease Control
- Public Health
Background:
- Japanese encephalitis (JE) is a significant health threat in Asia, impacting children and travelers.
- The safety of the JE vaccine IXIARO in pediatric populations requires thorough investigation.
Purpose of the Study:
- To assess the safety profile of the Japanese encephalitis virus vaccine IXIARO in children.
- To compare adverse event rates of IXIARO against control vaccines (Prevnar and HAVRIX 720) in pediatric subjects.
Main Methods:
- A randomized study involving 1869 children aged 2 months to 17 years.
- Participants received either IXIARO or control vaccines, with adverse events monitored up to 7 months post-vaccination.
Main Results:
- No significant differences in adverse events (AEs), serious AEs, or medically attended AEs were observed between vaccine groups.
- AE incidence was highest in infants (<1 year) and decreased with age; fever was the most common systemic reaction.
Conclusions:
- IXIARO exhibits a comparable safety profile to control vaccines in pediatric populations.
- The vaccine is deemed safe for children, with AE rates consistent with other routine pediatric immunizations.
Background:
Japanese encephalitis remains a serious health concern in Asian countries and has sporadically affected pediatric travelers. In the present study, we monitored the safety profile of the Japanese encephalitis virus vaccine IXIARO (Valneva Austria GmbH, Vienna, Austria) in a pediatric population.
Methods:
We randomized 1869 children between 2 months and 17 years of age in an age-stratified manner to vaccination with IXIARO or one of the control vaccines, Prevnar (formerly Wyeth Pharmaceuticals Inc., now Pfizer Inc., Kent, United Kingdom) and HAVRIX 720 (GlaxoSmithKline Biologicals, Rixensart, Belgium). Adverse events (AEs) (unsolicited and solicited local and systemic AEs), serious AEs and medically attended AEs were assessed up to day 56 and month 7 after the first dose.
Results:
Incidences of AEs, serious AEs or medically attended AEs did not differ significantly between the groups in any age stratum. AEs were most frequent in children <1 year of age and decreased with age. AEs of special interest, predefined as AEs associated with potential hypersensitivity/allergy or neurologic disorders up to day 56, were reported in 4.6% (IXIARO) versus 6.3% (Prevnar) in the ≥2 months to <1 year age group and 3.4% (IXIARO) versus 3.3% (HAVRIX) in the ≥1 to <18 years age group. Fever, the most frequent systemic reaction in 23.7% of infants to 3.8% of adolescents, decreased with age and did not differ between groups.
Conclusions:
The safety profile of IXIARO was comparable to the control vaccines in terms of overall AE rates, serious AEs and medically attended AEs.
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