Safety and immunogenicity of a recombinant hemagglutinin vaccine for H5 influenza in humans
- PMID: 11166898
- DOI: 10.1016/s0264-410x(00)00395-9
Safety and immunogenicity of a recombinant hemagglutinin vaccine for H5 influenza in humans
Abstract
Recent outbreaks of avian influenza in humans have demonstrated the need for vaccines for influenza viruses with pandemic potential. Recombinant hemagglutinins are an attractive option for such vaccines because they do not require handling potentially highly pathogenic influenza viruses for vaccine production. In order to evaluate the immunogenicity, optimum dosing and timing of administration of a recombinant baculovirus-expressed H5 HA (rH5) in humans, 147 healthy adults were assigned randomly to receive intramuscular rH5 as two doses of 25, 45 or 90 microg each, one dose of 90 microg followed by a dose of 10 microg, or two doses of placebo, at intervals between doses of 21, 28 or 42 days. All doses of rH5 were well tolerated. The rH5 vaccine was modestly immunogenic at high dose. Neutralizing antibody responses to a titer of 1:80 or greater were seen in 23% (14/60) of individuals after a single dose of 90 microg, and in 52% (15/29) after two doses of 90 microg. Varying intervals between doses from 21 to 42 days had no significant effect on antibody responses to vaccination. These results suggest that baculovirus-expressed H5 HA can induce functional antibody in individuals who have not had prior exposure to H5 viruses, but that further studies to improve the immunogenicity of the vaccine are needed.
Similar articles
-
Stable emulsion (SE) alone is an effective adjuvant for a recombinant, baculovirus-expressed H5 influenza vaccine in healthy adults: A Phase 2 trial.Vaccine. 2017 Feb 7;35(6):923-928. doi: 10.1016/j.vaccine.2016.12.053. Epub 2017 Jan 11. Vaccine. 2017. PMID: 28089141 Clinical Trial.
-
Recombinant influenza H7 hemagglutinins induce lower neutralizing antibody titers in mice than do seasonal hemagglutinins.Influenza Other Respir Viruses. 2014 Nov;8(6):628-35. doi: 10.1111/irv.12285. Epub 2014 Sep 12. Influenza Other Respir Viruses. 2014. PMID: 25213778 Free PMC article.
-
Safety and immunogenicity of a modified-vaccinia-virus-Ankara-based influenza A H5N1 vaccine: a randomised, double-blind phase 1/2a clinical trial.Lancet Infect Dis. 2014 Dec;14(12):1196-207. doi: 10.1016/S1473-3099(14)70963-6. Epub 2014 Oct 30. Lancet Infect Dis. 2014. PMID: 25455987 Clinical Trial.
-
Recombinant proteins produced in insect cells.Curr Top Microbiol Immunol. 2009;333:211-25. doi: 10.1007/978-3-540-92165-3_11. Curr Top Microbiol Immunol. 2009. PMID: 19768408 Review.
-
Development and use of fowlpox vectored vaccines for avian influenza.Ann N Y Acad Sci. 2006 Oct;1081:193-201. doi: 10.1196/annals.1373.023. Ann N Y Acad Sci. 2006. PMID: 17135511 Review.
Cited by
-
Evaluations for in vitro correlates of immunogenicity of inactivated influenza a H5, H7 and H9 vaccines in humans.PLoS One. 2012;7(12):e50830. doi: 10.1371/journal.pone.0050830. Epub 2012 Dec 11. PLoS One. 2012. PMID: 23239987 Free PMC article.
-
Cell-based influenza vaccines: progress to date.Drugs. 2008;68(11):1483-91. doi: 10.2165/00003495-200868110-00002. Drugs. 2008. PMID: 18627206 Review.
-
Vaccines for preventing influenza in healthy adults.Cochrane Database Syst Rev. 2018 Feb 1;2(2):CD001269. doi: 10.1002/14651858.CD001269.pub6. Cochrane Database Syst Rev. 2018. PMID: 29388196 Free PMC article. Review.
-
Vaccines for an influenza pandemic: scientific and political challenges.Influenza Other Respir Viruses. 2007 Mar;1(2):55-60. doi: 10.1111/j.1750-2659.2007.00011.x. Influenza Other Respir Viruses. 2007. PMID: 19432635 Free PMC article. Review.
-
Cell mediated immune responses following revaccination with an influenza A/H5N1 vaccine.Vaccine. 2016 Jan 20;34(4):547-554. doi: 10.1016/j.vaccine.2015.11.055. Epub 2015 Dec 4. Vaccine. 2016. PMID: 26657997 Free PMC article. Clinical Trial.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical