PMID- 24220326 OWN - NLM STAT- MEDLINE DCOM- 20150105 LR - 20211021 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 10 IP - 2 DP - 2014 TI - Immunogenicity and safety of a CRM-conjugated meningococcal ACWY vaccine administered concomitantly with routine vaccines starting at 2 months of age. PG - 280-9 LID - 10.4161/hv.27051 [doi] AB - BACKGROUND: Infants are at the highest risk for meningococcal disease and a broadly protective and safe vaccine is an unmet need in this youngest population. We evaluated the immunogenicity and safety of a 4-dose infant/toddler regimen of MenACWY-CRM given at 2, 4, 6, and 12 months of age concomitantly with pentavalent diphtheria-tetanus-acellular pertussis-Hemophilus influenzae type b-inactivated poliovirus-combination vaccine (DTaP-IPV/Hib), hepatitis B vaccine (HBV), 7- or 13-valent conjugate pneumococcal vaccine (PCV), and measles, mumps, and rubella vaccine (MMR). RESULTS: Four doses of MenACWY-CRM induced hSBA titers >/=8 in 89%, 95%, 97%, and 96% of participants against serogroups A, C, W-135, and Y, respectively. hSBA titers >/=8 were present in 76-98% of participants after the first 3 doses. A categorical linear analysis incorporating vaccine group and study center showed responses to routine vaccines administered with MenACWY-CRM were non-inferior to routine vaccines alone, except for seroresponse to the pertussis antigen fimbriae. The reactogenicity profile was not affected when MenACWY-CRM was administered concomitantly with routine vaccines. CONCLUSION: MenACWY-CRM administered with routine concomitant vaccinations in young infants was well tolerated and induced highly immunogenic responses against each of the serogroups without significant interference with the immune responses to routine infant vaccinations. METHODS: Healthy 2 month old infants were randomized to receive MenACWY-CRM with routine vaccines (n = 258) or routine vaccines alone (n = 271). Immunogenicity was assessed by serum bactericidal assay using human complement (hSBA). Medically attended adverse events (AEs), serious AEs (SAEs) and AEs leading to study withdrawal were collected throughout the study period. FAU - Nolan, Terry M AU - Nolan TM AD - Vaccine and Immunisation Research Group (VIRGo); Melbourne School of Population and Global Health; University of Melbourne and Murdoch Children's Research Institute; Melbourne, VIC Australia. FAU - Nissen, Michael D AU - Nissen MD AD - Queensland Paediatric Infectious Diseases Laboratory; Queensland Children's Medical Research Institute, Royal Children's Hospital; Brisbane, QLD Australia. FAU - Naz, Aftab AU - Naz A AD - Madera Family Medical Group; Madera, CA USA. FAU - Shepard, Julie AU - Shepard J AD - Ohio Pediatric Research Association; Vandalia, OH USA. FAU - Bedell, Lisa AU - Bedell L AD - Novartis Vaccines and Diagnostics; Cambridge, MA USA. FAU - Hohenboken, Matthew AU - Hohenboken M AD - Novartis Vaccines and Diagnostics; Cambridge, MA USA. FAU - Odrljin, Tatjana AU - Odrljin T AD - Novartis Vaccines and Diagnostics; Cambridge, MA USA. FAU - Dull, Peter M AU - Dull PM AD - Novartis Vaccines and Diagnostics; Cambridge, MA USA. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20131112 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (13-valent pneumococcal vaccine) RN - 0 (Diphtheria-Tetanus-Pertussis Vaccine) RN - 0 (Haemophilus Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (Heptavalent Pneumococcal Conjugate Vaccine) RN - 0 (Measles-Mumps-Rubella Vaccine) RN - 0 (MenACWY-CRM vaccine) RN - 0 (Meningococcal Vaccines) RN - 0 (Pneumococcal Vaccines) RN - 0 (Poliovirus Vaccine, Inactivated) RN - 0 (Vaccines, Conjugate) RN - 0 (diphtheria-tetanus-five component acellular pertussis-inactivated poliomyelitis -Haemophilus influenzae type b conjugate vaccine) SB - IM MH - Diphtheria-Tetanus-Pertussis Vaccine/administration & dosage MH - Female MH - Haemophilus Vaccines/administration & dosage MH - Hepatitis B Vaccines/administration & dosage/adverse effects/immunology MH - Heptavalent Pneumococcal Conjugate Vaccine MH - Humans MH - *Immunization Schedule MH - Infant MH - Male MH - Measles-Mumps-Rubella Vaccine/administration & dosage/adverse effects/immunology MH - Meningococcal Vaccines/administration & dosage/*adverse effects/*immunology MH - Pneumococcal Vaccines/administration & dosage/adverse effects/immunology MH - Poliovirus Vaccine, Inactivated/administration & dosage MH - Treatment Outcome MH - Vaccination/methods MH - Vaccines, Conjugate/administration & dosage PMC - PMC4185919 OTO - NOTNLM OT - conjugate vaccine OT - immunogenicity OT - infants OT - meningococcal disease OT - safety EDAT- 2013/11/14 06:00 MHDA- 2015/01/06 06:00 PMCR- 2015/02/01 CRDT- 2013/11/14 06:00 PHST- 2013/11/14 06:00 [entrez] PHST- 2013/11/14 06:00 [pubmed] PHST- 2015/01/06 06:00 [medline] PHST- 2015/02/01 00:00 [pmc-release] AID - 27051 [pii] AID - 2013HV0303R [pii] AID - 10.4161/hv.27051 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2014;10(2):280-9. doi: 10.4161/hv.27051. Epub 2013 Nov 12.