PMID- 23783081 OWN - NLM STAT- MEDLINE DCOM- 20140729 LR - 20211021 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 9 IP - 9 DP - 2013 Sep TI - A phase III single arm, multicenter, open-label study to assess the immunogenicity and tolerability of a pentavalent DTwP-HepB-Hib vaccine in indian infants. PG - 1903-9 LID - 10.4161/hv.25166 [doi] AB - Compliance with recommended vaccinations for Indian infants is facilitated by using combination vaccines to minimize the number of required injections. The ready-to-use, preservative free, fully-liquid combination DTwP-HepB-Hib vaccine, Quinvaxem((R)), offers convenience of administering five important vaccine antigens to infants in a single injection. This phase III, single-arm, multicenter study was designed to assess immunogenicity and safety of three doses of Quinvaxem((R)) to Indian infants administered at 6, 10, and 14 weeks of age. Blood samples were taken prior to the first dose and at one month post last vaccination. Infants were observed clinically for any reaction approximately 30 min following each vaccination, and parents completed subject diaries for solicited local, systemic and any adverse events (AEs) following over a 5 d period. DTwP-HepB-Hib vaccine elicited strong immune responses that exceeded seroprotection/seroconversion thresholds against all vaccine antigens. At one month after third vaccination, percentages of infants achieving predefined protective antibody levels were 99% diphtheria; 100% tetanus; 98% Hepatitis B; 100% Hib short-term (>/= 0.15 microg/mL); 95% Hib long-term (>/= 1.0 microg/mL) protection; and relevant immune response was 99% for pertussis. The vaccine was well tolerated, with no vaccine-related serious AEs. Only one case of high fever (>/= 40 degrees C) was reported. The most frequently reported reactions were mild to moderate tenderness and erythema. Frequencies of all AEs declined with subsequent vaccinations. This study demonstrated that this convenient, fully-liquid DTwP-HepB-Hib vaccine is highly immunogenic and has a acceptable safety profile for use in Indian infants. ClinicalTrials.gov Identifier: NCT01470287. Clinical Trials Registry of India Number: CTRI/2011/11/002118. FAU - Eregowda, Adarsh AU - Eregowda A AD - Rajarajeshwari Medical College & Hospital; Bangalore, India. FAU - Lalwani, Sanjay AU - Lalwani S FAU - Chatterjee, Sukanta AU - Chatterjee S FAU - Vakil, Hoshang AU - Vakil H FAU - Ahmed, Khaleel AU - Ahmed K FAU - Costantini, Marco AU - Costantini M FAU - Lattanzi, Maria AU - Lattanzi M LA - eng SI - ClinicalTrials.gov/NCT01470287 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130619 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Bacterial) RN - 0 (Diphtheria-Tetanus-Pertussis Vaccine) RN - 0 (DtwP-HepB-Hib vaccine) RN - 0 (Haemophilus Vaccines) RN - 0 (Hepatitis B Antibodies) RN - 0 (Hepatitis B Vaccines) SB - IM MH - Antibodies, Bacterial/*blood MH - Diphtheria-Tetanus-Pertussis Vaccine/administration & dosage/*adverse effects/*immunology MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Erythema/chemically induced/epidemiology MH - Female MH - Fever/chemically induced/epidemiology MH - Haemophilus Vaccines/administration & dosage/*adverse effects/*immunology MH - Hepatitis B Antibodies/*blood MH - Hepatitis B Vaccines/administration & dosage/*adverse effects/*immunology MH - Humans MH - India MH - Infant MH - Male MH - Vaccination/*adverse effects/*methods PMC - PMC3906354 OTO - NOTNLM OT - DTwP-HepB-Hib OT - Immunogenicity OT - Safety OT - combination vaccine OT - fully-liquid pentavalent vaccine OT - infants EDAT- 2013/06/21 06:00 MHDA- 2014/07/30 06:00 PMCR- 2014/09/01 CRDT- 2013/06/21 06:00 PHST- 2013/06/21 06:00 [entrez] PHST- 2013/06/21 06:00 [pubmed] PHST- 2014/07/30 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - 25166 [pii] AID - 2013HV0096R [pii] AID - 10.4161/hv.25166 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2013 Sep;9(9):1903-9. doi: 10.4161/hv.25166. Epub 2013 Jun 19.