PMID- 25483566 OWN - NLM STAT- MEDLINE DCOM- 20151130 LR - 20150310 IS - 1708-8305 (Electronic) IS - 1195-1982 (Linking) VI - 22 IP - 2 DP - 2015 Mar-Apr TI - Immunogenicity and safety of concomitant administration of a combined hepatitis A/B vaccine and a quadrivalent meningococcal conjugate vaccine in healthy adults. PG - 105-14 LID - 10.1111/jtm.12180 [doi] AB - BACKGROUND: This phase 3b randomized, open-label study evaluated the immunogenicity and safety of coadministration of a hepatitis A and/or B vaccine with a quadrivalent oligosaccharide meningococcal CRM197 -conjugate vaccine (MenACWY-CRM), in the context of an accelerated hepatitis A and/or B immunization schedule. METHODS: A total of 252 healthy adult subjects were randomized to three groups to receive hepatitis A/B only (HepA/B), hepatitis A/B coadministered with MenACWY-CRM (HepA/B+MenACWY-CRM), or MenACWY-CRM only (MenACWY-CRM). Hepatitis A and/or B vaccination was administered in the form of a single booster dose or a primary three-dose series, depending on the hepatitis A and/or B vaccination history of subjects. Antibody responses to hepatitis A/B vaccination were assessed 1 month following the last hepatitis A and/or B dose. Serum bactericidal activity with human complement (hSBA) against meningococcal serogroups A, C, W-135, and Y was assessed 1 month post-MenACWY-CRM vaccination. Safety was monitored throughout the study. RESULTS: At 1 month following the final hepatitis A and/or B vaccination, concomitant administration of hepatitis A/B and MenACWY-CRM was non-inferior to administration of hepatitis A/B alone in terms of geometric mean concentrations of antibodies against the hepatitis A and B antigens. One month post-MenACWY-CRM vaccination, the percentages of subjects achieving hSBA titers >/=8 for serogroups A, C, W-135, and Y in the HepA/B+MenACWY-CRM group (76, 87, 99, and 94%, respectively) were comparable to those in the MenACWY-CRM group (67, 82, 96, and 88%, respectively). The percentages of subjects reporting adverse events (AEs) were similar across study groups and a majority of the reported AEs were mild to moderate in nature. There were no study vaccine-related serious AEs. CONCLUSIONS: MenACWY-CRM can be administered concomitantly with a hepatitis A and/or B vaccine in the context of an accelerated hepatitis A and/or B immunization schedule without increasing safety concerns or compromising the immune responses to any of the vaccine antigens. [NCT01453348]. CI - (c) 2014 International Society of Travel Medicine. FAU - Alberer, Martin AU - Alberer M AD - Department of Infectious Diseases and Tropical Medicine, University of Munich, Munich, Germany. FAU - Burchard, Gerd AU - Burchard G FAU - Jelinek, Tomas AU - Jelinek T FAU - Reisinger, Emil C AU - Reisinger EC FAU - Meyer, Seetha AU - Meyer S FAU - Forleo-Neto, Eduardo AU - Forleo-Neto E FAU - Dagnew, Alemnew F AU - Dagnew AF FAU - Arora, Ashwani Kumar AU - Arora AK LA - eng SI - ClinicalTrials.gov/NCT01453348 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20141207 PL - England TA - J Travel Med JT - Journal of travel medicine JID - 9434456 RN - 0 (Hepatitis A Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (MenACWY) RN - 0 (Meningococcal Vaccines) RN - 0 (Vaccines, Conjugate) SB - IM MH - Adolescent MH - Adult MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - Germany MH - Hepatitis A/prevention & control MH - Hepatitis A Vaccines/administration & dosage/adverse effects MH - Hepatitis B/prevention & control MH - Hepatitis B Vaccines/administration & dosage MH - Humans MH - Immunization Schedule MH - Male MH - Meningococcal Infections/*prevention & control MH - Meningococcal Vaccines/*administration & dosage/adverse effects MH - Middle Aged MH - Treatment Outcome MH - Vaccines, Conjugate/*administration & dosage/adverse effects MH - Young Adult EDAT- 2014/12/09 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/12/09 06:00 PHST- 2014/05/14 00:00 [received] PHST- 2014/10/02 00:00 [revised] PHST- 2014/10/03 00:00 [accepted] PHST- 2014/12/09 06:00 [entrez] PHST- 2014/12/09 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1111/jtm.12180 [doi] PST - ppublish SO - J Travel Med. 2015 Mar-Apr;22(2):105-14. doi: 10.1111/jtm.12180. Epub 2014 Dec 7.