PMID- 22832260 OWN - NLM STAT- MEDLINE DCOM- 20130312 LR - 20141009 IS - 2164-554X (Electronic) IS - 2164-5515 (Linking) VI - 8 IP - 7 DP - 2012 Jul TI - A phase 1, randomized, open-label, active-controlled trial to assess the safety of a meningococcal serogroup B bivalent rLP2086 vaccine in healthy adults. PG - 888-95 LID - 10.4161/hv.19983 [doi] AB - Neisseria meningitidis serogroup B (MnB) is a significant cause of invasive meningococcal disease, but no broadly protective vaccine is yet approved. We assessed the safety and immunogenicity of a bivalent MnB vaccine composed of lipidated subfamily A and B variants of recombinant LP2086 (rLP2086, also known as factor H binding protein, fHBP). Forty-eight adults, ages 18-40 y, were randomized to receive 60, 120 or 200 mug of the bivalent rLP2086 vaccine or control at 0, 2 and 6 mo. Immunogenicity was assessed by rLP2086-specific immunoglobulin G (IgG) geometric mean titers for subfamily A and B proteins. Safety was determined by laboratory assessments of blood and urine and by reporting of solicited and unsolicited adverse events (AEs). The bivalent rLP2086 vaccine elicited high IgG titers following the second and third vaccination at all dose levels. In each of the four study arms, 11 of the 12 participating subjects reported >/= 1 AE, and no serious AEs were reported. Local and systemic reactions were mainly mild to moderate. Laboratory abnormalities (including increased sodium, decreased neutrophils, and proteinuria) were not associated with clinical events and were not considered to be related to the study vaccine. Vaccinations were generally well-tolerated. Strong IgG antibody responses and the absence of clinically significant laboratory abnormalities support further development of the bivalent rLP2086 vaccine (www.clinicaltrials.gov; identifier: NCT00879814). FAU - Sheldon, Eric A AU - Sheldon EA AD - Miami Research Associates, Miami, FL, USA. esheldon@miamiresearch.com FAU - Schwartz, Howard AU - Schwartz H FAU - Jiang, Qin AU - Jiang Q FAU - Giardina, Peter C AU - Giardina PC FAU - Perez, John L AU - Perez JL LA - eng SI - ClinicalTrials.gov/NCT00879814 PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120701 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Bacterial) RN - 0 (Antigens, Bacterial) RN - 0 (Bacterial Proteins) RN - 0 (Immunoglobulin G) RN - 0 (Meningococcal Vaccines) RN - 0 (factor H-binding protein, Neisseria meningitidis) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Bacterial/blood MH - Antigens, Bacterial/*immunology MH - Bacterial Proteins/*immunology MH - Blood Chemical Analysis MH - Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Female MH - Humans MH - Immunoglobulin G/blood MH - Male MH - Meningococcal Vaccines/administration & dosage/*adverse effects/*immunology MH - Neisseria meningitidis, Serogroup B/*immunology MH - Urine/chemistry MH - Young Adult EDAT- 2012/07/27 06:00 MHDA- 2013/03/13 06:00 CRDT- 2012/07/27 06:00 PHST- 2012/07/27 06:00 [entrez] PHST- 2012/07/27 06:00 [pubmed] PHST- 2013/03/13 06:00 [medline] AID - 19983 [pii] AID - 10.4161/hv.19983 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2012 Jul;8(7):888-95. doi: 10.4161/hv.19983. Epub 2012 Jul 1.