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Dose-related safety and immunogenicity of a trivalent baculovirus-expressed influenza-virus hemagglutinin vaccine in elderly adults.

2006 May 01

Journal Article

Authors:
Treanor, J.J.; Schiff, G.M.; Couch, R.B.; Cate, T.R.; Brady, R.C.; Hay, M.; Wolff, M.; She, D.; Cox, M.M.J.

Secondary:
J Infect Dis

Volume:
193

Pagination:
1223-8

Issue:
9

PMID:
16586358

DOI:
10.1086/503050

Keywords:
Adult; Aged; Aged, 80 and over; Antibodies, Viral; Baculoviridae; Dose-Response Relationship, Immunologic; Female; Hemagglutinin Glycoproteins, Influenza Virus; Humans; Influenza Vaccines; Male; Maximum Tolerated Dose; Middle Aged; Vaccines, Inactivated

Abstract:
BACKGROUND: Influenza-virus hemagglutinin (HA) protein expressed in insect cells by recombinant baculovirus is a candidate influenza vaccine.METHODS: In a randomized, double-blind trial conducted in 399 adults > or = 65 years of age, the efficacy of trivalent inactivated influenza vaccine (TIV) licensed for intramuscular injection was compared with that of trivalent baculovirus-expressed HA vaccine administered at doses of 15 microg, 45 microg, or 135 microg of each HA.RESULTS: Compared with TIV, baculovirus-expressed HA vaccine was safe and induced better serum antibody responses to the H3 component when administered at doses of 45 microg or 135 microg of each HA.CONCLUSIONS: Baculovirus-expressed HA is a safe and immunogenic influenza vaccine in elderly adults.

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