PMID- 27149114 OWN - NLM STAT- MEDLINE DCOM- 20171019 LR - 20181113 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 12 IP - 8 DP - 2016 Aug 2 TI - Safety and immunogenicity of a single dose 23-valent pneumococcal polysaccharide vaccine in Russian subjects. PG - 2142-2147 AB - Pneumococcal infection is a major cause of pneumonia, bacteremia, and meningitis. Incidence of pneumococcal disease (PD) varies worldwide. The 23-valent pneumococcal polysaccharide vaccine (PPV23) displays an acceptable safety profile and has been demonstrated cost-effective in reducing burden of PD. METHODS: Approximately 100 subjects from the Russian Federation who were either 2 to 49 y of age with increased risk for PD or >/=50 years of age were enrolled into the study (NCT01734239) to receive a single dose of PPV23 administered intramuscularly. Each subject was followed for local and systemic adverse events (AEs) for 5 and 14 days, respectively. Serious AEs were collected for 28 d postvaccination. Blood samples were collected immediately prior to vaccination and 28 d postvaccination for the measurement of IgG to serotypes 1, 6B, 14, 19F, and 23F. RESULTS: High proportion of subjects had >/=2 -fold increase in IgG following receipt of PPV23. Rates were 92.0%, 83.0%, 89.0%, 81%, 84% for serotypes 1, 6B, 14, 19F, and 23F, respectively. Similar rates of responders and increases in the magnitude of immune responses were observed in both age groups (2-49, >/=50 ). PPV23 was generally safe and well tolerated. Injection site and systemic AEs were reported by 14.7% and 18.6% of study subjects, respectively. CONCLUSIONS: PPV23 is generally safe, well tolerated, and highly immunogenic when given as a single dose to Russian individuals 50 y of age and older, as well as Russian individuals 2 to 49 y of age who are at high risk for PD. FAU - Ciprero, Karen AU - Ciprero K AD - a Merck & Co., Inc. , Kenilworth , NJ , USA. FAU - Zykov, Kirill A AU - Zykov KA AD - b Moscow State University of Medicine and Dentistry , Moscow , Russian Federation. FAU - Briko, Nikolay I AU - Briko NI AD - c I.M. Sechenov First Moscow State Medical University , Moscow , Russian Federation. FAU - Shekar, Tulin AU - Shekar T AD - a Merck & Co., Inc. , Kenilworth , NJ , USA. FAU - Sterling, Tina M AU - Sterling TM AD - a Merck & Co., Inc. , Kenilworth , NJ , USA. FAU - Bitieva, Elizaveta AU - Bitieva E AD - d Merck Sharp & Dohme (MSD) Pharmaceuticals LLC , Moscow , Russian Federation. FAU - Stek, Jon E AU - Stek JE AD - a Merck & Co., Inc. , Kenilworth , NJ , USA. FAU - Musey, Luwy AU - Musey L AD - a Merck & Co., Inc. , Kenilworth , NJ , USA. LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20160505 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (23-valent pneumococcal capsular polysaccharide vaccine) RN - 0 (Antibodies, Bacterial) RN - 0 (Immunoglobulin G) RN - 0 (Pneumococcal Vaccines) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Bacterial/*blood MH - Child MH - Child, Preschool MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Female MH - Humans MH - Immunoglobulin G/blood MH - Injections, Intramuscular MH - Male MH - Middle Aged MH - Pneumococcal Vaccines/administration & dosage/*adverse effects/*immunology MH - Russia MH - Young Adult PMC - PMC4994758 OTO - NOTNLM OT - Russian population OT - immunogenicity OT - pneumococcal polysaccharide vaccine OT - pneumococcal vaccine OT - safety EDAT- 2016/05/06 06:00 MHDA- 2017/10/20 06:00 PMCR- 2017/05/05 CRDT- 2016/05/06 06:00 PHST- 2016/05/06 06:00 [pubmed] PHST- 2017/10/20 06:00 [medline] PHST- 2016/05/06 06:00 [entrez] PHST- 2017/05/05 00:00 [pmc-release] AID - 1165373 [pii] AID - 10.1080/21645515.2016.1165373 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2016 Aug 2;12(8):2142-2147. doi: 10.1080/21645515.2016.1165373. Epub 2016 May 5.