婴儿中四价性脑膜炎球菌葡萄糖合物疫苗的免疫性:随机对照试验
Matthew D Snape1, Kirsten P Perrett, Karen J Ford
1Oxford Vaccine Group, University of Oxford, England. matthew.snape@paediatrics.ox.ac.uk
JAMA
|January 10, 2008
概括
一种新的脑膜炎球菌ACWY疫苗 (MenACWY) 在婴儿中显示出强烈的免疫性,对血清组A,C,W-135和Y的抗体标位高. 这种新型疫苗耐受性很好,在幼儿时期提供保护.
科学领域:
- 儿童传染病 儿童传染病
- 疫苗学 疫苗学 疫苗学
- 免疫学 免疫学 免疫学
背景情况:
- 目前的脑膜炎球菌ACWY疫苗在婴儿中没有足够的免疫性.
- 婴儿期是脑膜炎球菌疾病的关键时期,观察到的发病率最高.
研究的目的:
- 在婴儿中评估一种新型四价值CRM197-合脑膜炎球菌疫苗 (MenACWY) 的免疫性和安全性.
主要方法:
- 一项随机的,开放的,受控的研究,涉及英国和加拿大的2个月大的婴儿.
- 婴儿接受了不同的MenACWY疫苗接种计划或对照疫苗 (MenC).
- 人类补剂血清杀菌活性 (hSBA) 标位在初级免疫接种后和强剂后被测量.
主要成果:
- 在初级MenACWY免疫接种后,高比例的婴儿实现了对血清组A,C,W-135和Y的保护性hSBA标位 (>或=1:4) .
- 12个月后的强剂进一步增加了抗体标位,至少95%的人达到C,W-135和Y的保护水平.
- MenACWY疫苗耐受性很好,有轻微且不常见的不良事件,如腿部运动疼痛和发烧.
结论:
- 新型MenACWY疫苗在婴儿中既耐受良好,也具有免疫性.
- 这种疫苗有望保护婴儿免受侵袭性脑膜炎球菌病的影响.
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