PMID- 21150279 OWN - NLM STAT- MEDLINE DCOM- 20110727 LR - 20211020 IS - 1554-8619 (Electronic) IS - 1554-8600 (Print) IS - 1554-8600 (Linking) VI - 6 IP - 12 DP - 2010 Dec TI - Long term immunity to live attenuated Japanese encephalitis chimeric virus vaccine: randomized, double-blind, 5-year phase II study in healthy adults. PG - 1038-46 AB - In a randomized, double-blind study, 202 healthy adults were randomized to receive a live, attenuated Japanese encephalitis chimeric virus vaccine (JE-CV) and placebo 28 days apart in a cross-over design. A subgroup of 98 volunteers received a JE-CV booster at month 6. Safety, immunogenicity, and persistence of antibodies to month 60 were evaluated. There were no unexpected adverse events (AEs) and the incidence of AEs between JE-CV and placebo were similar. There were three serious adverse events (SAE) and no deaths. A moderately severe case of acute viral illness commencing 39 days after placebo administration was the only SAE considered possibly related to immunization. 99% of vaccine recipients achieved a seroprotective antibody titer >/= 10 to JE-CV 28 days following the single dose of JE-CV, and 97% were seroprotected at month 6. Kaplan Meier analysis showed that after a single dose of JE-CV, 87% of the participants who were seroprotected at month 6 were still protected at month 60. This rate was 96% among those who received a booster immunization at month 6. 95% of subjects developed a neutralizing titer >/= 10 against at least three of the four strains of a panel of wild-type Japanese encephalitis virus (JEV) strains on day 28 after immunization. At month 60, that proportion was 65% for participants who received a single dose of JE-CV and 75% for the booster group. These results suggest that JE-CV is safe, well tolerated and that a single dose provides long-lasting immunity to wild-type strains. FAU - Nasveld, Peter E AU - Nasveld PE AD - Australian Army Malaria Institute, Queensland, Australia. FAU - Ebringer, Andrew AU - Ebringer A FAU - Elmes, Nathan AU - Elmes N FAU - Bennett, Sonya AU - Bennett S FAU - Yoksan, Sutee AU - Yoksan S FAU - Aaskov, John AU - Aaskov J FAU - McCarthy, Karen AU - McCarthy K FAU - Kanesa-thasan, Niranjan AU - Kanesa-thasan N FAU - Meric, Claude AU - Meric C FAU - Reid, Mark AU - Reid M LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20101201 PL - United States TA - Hum Vaccin JT - Human vaccines JID - 101265291 RN - 0 (Antibodies, Viral) RN - 0 (Japanese Encephalitis Vaccines) RN - 0 (Placebos) RN - 0 (Vaccines, Attenuated) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Viral/blood MH - Cross-Over Studies MH - Double-Blind Method MH - Encephalitis, Japanese/prevention & control MH - Female MH - Human Experimentation MH - Humans MH - Immunization, Secondary/methods MH - Japanese Encephalitis Vaccines/administration & dosage/adverse effects/*immunology MH - Male MH - Middle Aged MH - Placebos/administration & dosage MH - Time Factors MH - Vaccination/methods MH - Vaccines, Attenuated/administration & dosage/adverse effects/immunology MH - Young Adult PMC - PMC3060383 EDAT- 2010/12/15 06:00 MHDA- 2011/07/28 06:00 PMCR- 2010/12/01 CRDT- 2010/12/15 06:00 PHST- 2010/12/15 06:00 [entrez] PHST- 2010/12/15 06:00 [pubmed] PHST- 2011/07/28 06:00 [medline] PHST- 2010/12/01 00:00 [pmc-release] AID - 13057 [pii] AID - 1554-8600-6-12-14 [pii] AID - 10.4161/hv.6.12.13057 [doi] PST - ppublish SO - Hum Vaccin. 2010 Dec;6(12):1038-46. doi: 10.4161/hv.6.12.13057. Epub 2010 Dec 1.