PMID- 23922377 OWN - NLM STAT- MEDLINE DCOM- 20140331 LR - 20131217 IS - 1537-6613 (Electronic) IS - 0022-1899 (Linking) VI - 209 IP - 1 DP - 2014 Jan 1 TI - Immunogenicity, safety, and immune persistence of a novel inactivated human enterovirus 71 vaccine: a phase II, Randomized, double-blind, placebo-controlled Trial. PG - 46-55 LID - 10.1093/infdis/jit429 [doi] AB - BACKGROUND: Vaccination is considered a top priority for the control of human enterovirus 71 (EV71) infection outbreaks. METHODS: On the basis of phase I trial results, we conducted a double-blind, randomized, controlled trial to evaluate the optimal dose, immunogenicity, safety and immune persistence of the vaccine. A total of 480 healthy infants were randomly assigned to receive 2 injections of 100 U of vaccine, 200 U of vaccine, 400 U of vaccine, or placebo. Solicited adverse events (AEs) within 7 days and unsolicited AEs within 28 days after each vaccination were collected for safety evaluation. Blood samples were collected for neutralizing antibody assay. RESULTS: EV71 vaccine was well tolerated, and no dose-related safety concerns were observed. Two doses of the vaccine yielded seropositivity frequencies of 92.3%, 95.9%, and 99.0% (with titers >/=1:8) in the 100 U, 200 U, and 400 U groups, respectively. Geometric mean titers measured by neutralizing antibody assay increased to 60.2 (95% confidence interval [CI], 41.9-86.4), 72.8 (95% CI, 50.8-104.3), and 252.1 (95% CI, 180.8-351.6) for the 100 U, 200 U, and 400 U groups, respectively. The dose-response relationship, with the 400 U dose showing higher immunogenicity than the 100 U and 200 U doses, remained until 13 months after the second vaccination, despite waning antibody levels. CONCLUSIONS: The 400 U dose was recommended as the optimal dose for the phase III trial because of its good safety profile and higher immunogenicity. FAU - Li, Yan-Ping AU - Li YP AD - Center for Disease Control and Prevention of the Guangxi Zhuang Autonomous Region, Nanning. FAU - Liang, Zheng-Lun AU - Liang ZL FAU - Xia, Jie-Lai AU - Xia JL FAU - Wu, Jun-Yu AU - Wu JY FAU - Wang, Ling AU - Wang L FAU - Song, Li-Fei AU - Song LF FAU - Mao, Qun-Ying AU - Mao QY FAU - Wen, Shu-Qun AU - Wen SQ FAU - Huang, Ren-Guo AU - Huang RG FAU - Hu, Yuan-Sheng AU - Hu YS FAU - Yao, Xin AU - Yao X FAU - Miao, Xu AU - Miao X FAU - Wu, Xing AU - Wu X FAU - Li, Rong-Cheng AU - Li RC FAU - Wang, Jun-Zhi AU - Wang JZ FAU - Yin, Wei-Dong AU - Yin WD LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial DEP - 20130806 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Antibodies, Neutralizing) RN - 0 (Antibodies, Viral) RN - 0 (Vaccines, Inactivated) RN - 0 (Viral Vaccines) SB - IM MH - Antibodies, Neutralizing/blood/immunology MH - Antibodies, Viral/blood/immunology MH - Child, Preschool MH - Double-Blind Method MH - Enterovirus A, Human/*immunology MH - Female MH - Humans MH - Immunologic Memory/immunology MH - Infant MH - Male MH - Vaccines, Inactivated/administration & dosage/adverse effects/immunology MH - Viral Vaccines/*administration & dosage/adverse effects/immunology OTO - NOTNLM OT - EV71 vaccine OT - immune persistence OT - immunogenicity OT - safety EDAT- 2013/08/08 06:00 MHDA- 2014/04/01 06:00 CRDT- 2013/08/08 06:00 PHST- 2013/08/08 06:00 [entrez] PHST- 2013/08/08 06:00 [pubmed] PHST- 2014/04/01 06:00 [medline] AID - jit429 [pii] AID - 10.1093/infdis/jit429 [doi] PST - ppublish SO - J Infect Dis. 2014 Jan 1;209(1):46-55. doi: 10.1093/infdis/jit429. Epub 2013 Aug 6.