PMID- 19666152 OWN - NLM STAT- MEDLINE DCOM- 20091105 LR - 20090928 IS - 1873-2518 (Electronic) IS - 0264-410X (Linking) VI - 27 IP - 43 DP - 2009 Oct 9 TI - A novel mammalian cell-culture technique for consistent production of a well-tolerated and immunogenic trivalent subunit influenza vaccine. PG - 6022-9 LID - 10.1016/j.vaccine.2009.07.083 [doi] AB - Conventional influenza vaccine production methods have limitations due to their reliance on chicken eggs. We evaluated whether a mammalian cell-culture system could reliably produce an influenza vaccine with favourable tolerability and immunogenicity profiles. Adult subjects (n=1200; 18-60 years of age) were randomized (2:2:2:1) to receive either one of three lots of a cell-culture-derived influenza vaccine (CCIV) or an egg-based trivalent inactivated influenza vaccine (TIV). Safety and reactogenicity were assessed using solicited indicators for 7 days post-vaccination, all other adverse events (AEs) were recorded for 21 days post-vaccination, and all serious AEs and AEs necessitating a physician's visit, and/or resulting in subject's withdrawal from the study, were collected for up to 6 months post-vaccination. Antibody titres were measured by haemagglutination inhibition (HI) assay using egg-based viral antigens. All three lots of CCIV had similar safety and tolerability profiles, analogous to those of the TIV. Lot-to-lot consistency was statistically demonstrated through bioequivalence for immunogenicity. Antibody titres assessed at 6 months demonstrated good persistence. This Phase III trial is the first to demonstrate lot-to-lot bioequivalence of a CCIV and persistence of immunogenicity in comparison with a TIV. FAU - Ambrozaitis, Arvydas AU - Ambrozaitis A AD - Vilnius University, Vilnius, Lithuania. FAU - Groth, Nicola AU - Groth N FAU - Bugarini, Roberto AU - Bugarini R FAU - Sparacio, Vittoria AU - Sparacio V FAU - Podda, Audino AU - Podda A FAU - Lattanzi, Maria AU - Lattanzi M 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 - 20090808 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (Antibodies, Viral) RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Inactivated) SB - IM MH - Adult MH - Antibodies, Viral/blood/immunology MH - Cell Culture Techniques/*methods MH - Female MH - Hemagglutination Inhibition Tests MH - Humans MH - Influenza Vaccines/adverse effects/biosynthesis/*immunology MH - Influenza, Human/immunology/*prevention & control MH - Male MH - Middle Aged MH - Quality Control MH - Vaccines, Inactivated/immunology MH - Young Adult EDAT- 2009/08/12 09:00 MHDA- 2009/11/06 06:00 CRDT- 2009/08/12 09:00 PHST- 2009/03/24 00:00 [received] PHST- 2009/07/16 00:00 [revised] PHST- 2009/07/22 00:00 [accepted] PHST- 2009/08/12 09:00 [entrez] PHST- 2009/08/12 09:00 [pubmed] PHST- 2009/11/06 06:00 [medline] AID - S0264-410X(09)01117-7 [pii] AID - 10.1016/j.vaccine.2009.07.083 [doi] PST - ppublish SO - Vaccine. 2009 Oct 9;27(43):6022-9. doi: 10.1016/j.vaccine.2009.07.083. Epub 2009 Aug 8.