PMID- 26308112 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181113 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 12 IP - 2 DP - 2016 TI - Concomitant use of VAQTA with PedvaxHIB and Infanrix in 12 to 17 month old children. PG - 503-11 LID - 10.1080/21645515.2015.1080395 [doi] AB - Open-label, multicenter, randomized study (NCT00289913) evaluated immunogenicity, safety, and tolerability of Vaqta (hepatitis A vaccine) administered with PedvaxHIB (Haemophilus b conjugate vaccine [Meningococcal protein conjugate]) & Infanrix (diphtheria/tetanus/acellular pertussis vaccine) in healthy, 15-month-old children. Five groups were evaluated: Group 1 received Vaqta/Infanrix PedvaxHIB on Day-1 and Vaqta at Week-24; Group 2 received Infanrix PedvaxHIB on Day-1, Vaqta at Week-4, and Vaqta at Week-28; Group 3 received Vaqta/PedvaxHIB on Day-1 and Vaqta Week-24; Group 4 received PedvaxHIB on Day-1, Vaqta at Week-4, and Vaqta at Week-28; and Group 5 (safety only) received Vaqta on Day-1 and Vaqta at Week-24. Hepatitis A seropositivity rate (SPR: >/=10 mIU/mL), Hib capsular polyribosylribitol phosphate (PRP) antibody response (>1.0 mug/mL), and geometric mean titers (GMT) to pertussis toxin (PT), pertussis filamentous hemagglutinin antibody (FHA), and pertactin were examined. Non-inferiority statistical criteria required a difference >10% in Hepatitis A SPR, PRP >1.0 mug/mL, and a GMT ratio of >0.67 for pertussis antigens. Injection-site and systemic adverse events (AEs) and daily temperatures were collected. Hepatitis A SPRs were 100% for Groups 1-4, regardless of initial serostatus. Anti-PRP titers were comparable (98.1% - 97.0%) for Groups 1-4. GMT and mean fold-rise were comparable for all 3 pertussis antigen components between concomitant and nonconcomitant groups. Criteria for non-inferiority of immune responses for concomitant vs nonconcomitant administration were met for Hepatitis A, Hib, and pertussis antigens. No statistically significant incidence differences of individual AEs were found between concomitant and nonconcomitant groups. No serious vaccine-related AEs or deaths were reported; no subject discontinued due to an AE. Immune responses to Vaqta, PedvaxHIB, and Infanrix given concomitantly were non-inferior to nonconcomitant responses. Vaqta administered with PedvaxHIB & Infanrix had an acceptable safety profile in 15-month-old children. FAU - Petrecz, Maria AU - Petrecz M AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. FAU - Ramsey, Keith P AU - Ramsey KP AD - b Jordan Ridge Kids & Teens ; West Jordan , UT USA. FAU - Stek, Jon E AU - Stek JE AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. FAU - Martin, Jason C AU - Martin JC AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. FAU - Klopfer, Stephanie O AU - Klopfer SO AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. FAU - Kuter, Barbara AU - Kuter B AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. FAU - Schodel, Florian P AU - Schodel FP AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. FAU - Lee, Andrew W AU - Lee AW AD - a Merck & Co., Inc. ; Kenilworth , NJ USA. LA - eng SI - ClinicalTrials.gov/NCT00289913 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Bacterial) RN - 0 (Bacterial Outer Membrane Proteins) RN - 0 (Diphtheria-Tetanus-acellular Pertussis Vaccines) RN - 0 (Haemophilus Vaccines) RN - 0 (Haemophilus influenzae-type b polysaccharide-Neisseria meningitidis outer membrane protein conjugate vaccine) RN - 0 (Hepatitis A Vaccines) RN - 0 (Polysaccharides, Bacterial) RN - 0 (Vaccines, Combined) RN - 0 (Vaccines, Conjugate) RN - 0 (Virulence Factors, Bordetella) RN - 63GD90PP8X (pertactin) SB - IM MH - Antibodies, Bacterial/blood MH - Bacterial Outer Membrane Proteins/adverse effects/*immunology MH - Diphtheria/immunology/prevention & control MH - Diphtheria-Tetanus-acellular Pertussis Vaccines/adverse effects/*immunology MH - Haemophilus Infections/immunology/prevention & control MH - Haemophilus Vaccines/adverse effects/*immunology MH - Hepatitis A/immunology/prevention & control MH - Hepatitis A Vaccines/adverse effects/*immunology MH - Humans MH - Immunogenicity, Vaccine/*immunology MH - Infant MH - Polysaccharides, Bacterial/adverse effects/*immunology MH - Tetanus/immunology/prevention & control MH - Vaccines, Combined/*adverse effects/*immunology MH - Vaccines, Conjugate/adverse effects/immunology MH - Virulence Factors, Bordetella/immunology MH - Whooping Cough/immunology/prevention & control PMC - PMC5049725 OTO - NOTNLM OT - H. influenzae type b OT - concomitant use OT - diphtheria OT - hepatitis A OT - immunogenicity OT - pertussis OT - safety OT - tetanus OT - vaccine EDAT- 2015/08/27 06:00 MHDA- 2016/12/15 06:00 PMCR- 2016/08/26 CRDT- 2015/08/27 06:00 PHST- 2015/08/27 06:00 [entrez] PHST- 2015/08/27 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2016/08/26 00:00 [pmc-release] AID - 1080395 [pii] AID - 10.1080/21645515.2015.1080395 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2016;12(2):503-11. doi: 10.1080/21645515.2015.1080395.