PMID- 17724151 OWN - NLM STAT- MEDLINE DCOM- 20080115 LR - 20181113 IS - 0066-4804 (Print) IS - 1098-6596 (Electronic) IS - 0066-4804 (Linking) VI - 51 IP - 11 DP - 2007 Nov TI - Comparative immunogenicities of frozen and refrigerated formulations of live attenuated influenza vaccine in healthy subjects. PG - 4001-8 AB - The frozen version of live attenuated influenza vaccine (LAIV; FluMist) was compared with a newly licensed, refrigerated formulation, the cold-adapted influenza vaccine, trivalent (CAIV-T), for their immunogenicity, safety, and tolerability in healthy subjects 5 to 49 years of age. Eligible subjects were randomized 1:1 to receive CAIV-T or frozen LAIV. Subjects 5 to 8 years of age received two doses of vaccine 46 to 60 days apart; subjects 9 to 49 years of age received one dose of vaccine. Equivalent immunogenicities were defined as serum hemagglutination inhibition (HAI) geometric mean titer (GMT) ratios >0.5 and <2.0 for each of the three vaccine-specific strains. A total of 376 subjects 5 to 8 years of age and 566 subjects 9 to 49 years of age were evaluable. Postvaccination HAI GMT ratios were equivalent for CAIV-T and LAIV. The GMT ratios of CAIV-T/LAIV for the H1N1, H3N2, and B strains were 1.24, 1.02, and 1.00, respectively, for the 5- to 8-year-old age group and 1.14, 1.12, and 0.96, respectively, for the 9- to 49-year-old age group. Seroresponse/seroconversion rates (fourfold or greater rise) were similar in both age groups for each of the three vaccine strains. Within 28 days, the most frequent reactogenicity event in the CAIV-T and LAIV groups was runny nose/nasal congestion, which occurred at higher rates after dose 1 (44% and 42%, respectively) than after dose 2 (41% and 29%, respectively) in the 5- to 8-year-old group. Otherwise, the rates of adverse events (AEs) were similar between the treatment groups and the two age cohorts, with no serious AEs related to the study vaccines. The immunogenicities, reactogenicity events, and AEs were comparable for refrigerated CAIV-T and frozen LAIV. FAU - Block, Stan L AU - Block SL AD - Kentucky Pediatric Research, 201 S. 5th St., Bardstown, KY 40004-1142, USA. slblock@pol.net FAU - Reisinger, Keith S AU - Reisinger KS FAU - Hultquist, Micki AU - Hultquist M FAU - Walker, Robert E AU - Walker RE CN - CAIV-T Study Group LA - eng PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20070827 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Attenuated) SB - IM MH - Adolescent MH - Adult MH - Child MH - Child, Preschool MH - Cold Temperature MH - Double-Blind Method MH - Female MH - Freezing MH - Hemagglutination Inhibition Tests MH - Humans MH - Immunization Schedule MH - Influenza Vaccines/administration & dosage/adverse effects/*immunology MH - Male MH - Middle Aged MH - Vaccination/adverse effects/methods MH - Vaccines, Attenuated/administration & dosage/adverse effects/*immunology PMC - PMC2151446 EDAT- 2007/08/29 09:00 MHDA- 2008/01/16 09:00 PMCR- 2008/03/01 CRDT- 2007/08/29 09:00 PHST- 2007/08/29 09:00 [pubmed] PHST- 2008/01/16 09:00 [medline] PHST- 2007/08/29 09:00 [entrez] PHST- 2008/03/01 00:00 [pmc-release] AID - AAC.00517-07 [pii] AID - 0517-07 [pii] AID - 10.1128/AAC.00517-07 [doi] PST - ppublish SO - Antimicrob Agents Chemother. 2007 Nov;51(11):4001-8. doi: 10.1128/AAC.00517-07. Epub 2007 Aug 27.