PMID- 22112189 OWN - NLM STAT- MEDLINE DCOM- 20120531 LR - 20211021 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 11 DP - 2011 Nov 23 TI - Primary vaccination with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in infants in Mali and Nigeria: a randomized controlled trial. PG - 882 LID - 10.1186/1471-2458-11-882 [doi] AB - BACKGROUND: Pneumonia is still the leading cause of death among children in Africa, and pneumococcal serotypes 1 and 5 are frequently isolated from African children with invasive pneumococcal disease below the age of 5 years. The immunogenicity, safety and reactogenicity of 3-dose primary vaccination with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) were evaluated in infants in Mali and Nigeria. METHODS: In an open, randomized, controlled study, 357 infants received DTPw-HBV/Hib and OPV primary vaccination with (PHiD-CV group) or without (control group) PHiD-CV co-administration at 6, 10 and 14 weeks of age. Pneumococcal antibody responses and opsonophagocytic activity (OPA) were measured and adverse events (AEs) recorded. RESULTS: One month post-dose 3, >/= 97.2% of PHiD-CV-vaccinated infants had an antibody concentration >/= 0.2 mug/mL for each vaccine pneumococcal serotype except for 6B (82.0%) and 23F (87.6%) versus < 10% in the control group except for serotypes 14 (35.7%) and 19F (22.5%). For each vaccine serotype, >/= 93.3% of PHiD-CV recipients had an OPA titre >/= 8, except for serotypes 1 (87.6%) and 6B (85.4%), compared to < 10% in the control group, except for serotypes 7F (42.9%), 9V (24.1%) and 14 (24.5%). Anti-protein D geometric mean antibody concentrations were 3791.8 and 85.4 EL.U/mL in the PHiD-CV and control groups, respectively. Overall incidences of solicited and unsolicited AEs were similar between groups. CONCLUSIONS: In sub-Saharan African infants, PHiD-CV was immunogenic for all vaccine pneumococcal serotypes and protein D. Vaccine tolerability was generally comparable between the PHiD-CV and control groups. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT00678301. FAU - Dicko, Alassane AU - Dicko A AD - Malaria Research and Training Center, Faculty of Medicine, Pharmacy and Dentistry, University of Bamako, P,O, Box 1805, Bamako, Mali. adicko@mrtcbko.org FAU - Odusanya, Olumuyiwa O AU - Odusanya OO FAU - Diallo, Abdoulbaki I AU - Diallo AI FAU - Santara, Gaoussou AU - Santara G FAU - Barry, Amadou AU - Barry A FAU - Dolo, Amagana AU - Dolo A FAU - Diallo, Aminata AU - Diallo A FAU - Kuyinu, Yetunde A AU - Kuyinu YA FAU - Kehinde, Omolara A AU - Kehinde OA FAU - Francois, Nancy AU - Francois N FAU - Borys, Dorota AU - Borys D FAU - Yarzabal, Juan P AU - Yarzabal JP FAU - Moreira, Marta AU - Moreira M FAU - Schuerman, Lode AU - Schuerman L LA - eng SI - ClinicalTrials.gov/NCT00678301 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20111123 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 RN - 0 (10-valent pneumococcal vaccine) RN - 0 (Bacterial Proteins) RN - 0 (Carrier Proteins) RN - 0 (Immunoglobulin D) RN - 0 (Lipoproteins) RN - 0 (Pneumococcal Vaccines) RN - EC 3.1.4.46 (glpQ protein, Haemophilus influenzae) SB - IM MH - Africa South of the Sahara MH - Bacterial Proteins/drug effects/*immunology MH - Carrier Proteins/drug effects/*immunology MH - Female MH - Haemophilus Infections/*prevention & control MH - Haemophilus influenzae/drug effects/*immunology MH - Humans MH - Immunoglobulin D/drug effects/*immunology MH - Infant MH - Lipoproteins/drug effects/*immunology MH - Male MH - Mali MH - Nigeria MH - Pneumococcal Vaccines/administration & dosage/pharmacology/*therapeutic use MH - *Primary Prevention PMC - PMC3267728 EDAT- 2011/11/25 06:00 MHDA- 2012/06/01 06:00 PMCR- 2011/11/23 CRDT- 2011/11/25 06:00 PHST- 2011/07/20 00:00 [received] PHST- 2011/11/23 00:00 [accepted] PHST- 2011/11/25 06:00 [entrez] PHST- 2011/11/25 06:00 [pubmed] PHST- 2012/06/01 06:00 [medline] PHST- 2011/11/23 00:00 [pmc-release] AID - 1471-2458-11-882 [pii] AID - 10.1186/1471-2458-11-882 [doi] PST - epublish SO - BMC Public Health. 2011 Nov 23;11:882. doi: 10.1186/1471-2458-11-882.