PMID- 28870140 OWN - NLM STAT- MEDLINE DCOM- 20180529 LR - 20180613 IS - 1744-8395 (Electronic) IS - 1476-0584 (Linking) VI - 16 IP - 11 DP - 2017 Nov TI - Immunogenicity and safety of an inactivated quadrivalent influenza vaccine candidate versus inactivated trivalent influenza vaccines in participants >/=3 years of age: a double-blind, randomized, parallel-controlled phase III clinical trial in China. PG - 1155-1169 LID - 10.1080/14760584.2017.1374181 [doi] AB - BACKGROUND: Viruses from two antigenically distinct influenza B strains have co-circulated since the mid-1980s, yet inactivated trivalent influenza vaccines (TIVs) with either the Victoria or Yamagata lineage could only provide limited protection from influenza B strain. Quadrivalent influenza vaccine (QIV) including both influenza B lineages can improve protection against circulating influenza B viruses. METHODS: Participants >/ = 3 years of age were recruited, stratified by age, and then randomly allocated at a ratio of 2:1:1 to receive one-injection of the experimental QIV, TIV-Victoria (Vic) or TIV-Yamagata (Yam). The primary objective of this study was to demonstrate that the hemagglutination-inhibition (HI) antibodies induced by the QIV candidate are not inferior to the licensed TIVs. RESULTS: First, 3661 participants received the inoculation. The QIV was found to be non-inferior to TIVs in terms of the geometric mean titers (GMTs) and seroconversion rates (SCRs) of the HI antibodies against shared strains 28 days after completion of inoculation, and was superior to the TIVs against the alternate B strain, which is absent from the TIVs. The occurrences of adverse events (AEs) post-vaccination were similar across the treatment groups. CONCLUSION: The experimental QIV showed good immunogenicity and an acceptable safety profile. FAU - Wang, Shi-Yuan AU - Wang SY AD - a Department of Public Health , Southeast University , Nanjing , PR China. FAU - Liu, Shu-Zhen AU - Liu SZ AD - b Department of Respiratory Virus Vaccine , National Institutes for Food and Drug Control , Beijing , PR China. FAU - Chu, Kai AU - Chu K AD - c Vaccine Clinical Evaluation Department , Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , PR China. FAU - Zhao, Yue AU - Zhao Y AD - d Corporate Representative , Jiangsu GDK Biotechnology Co., Ltd , Taizhou , PR China. FAU - Zhu, Feng-Cai AU - Zhu FC AD - c Vaccine Clinical Evaluation Department , Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , PR China. FAU - Hu, Yue-Mei AU - Hu YM AD - c Vaccine Clinical Evaluation Department , Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , PR China. FAU - Meng, Fan-Yue AU - Meng FY AD - c Vaccine Clinical Evaluation Department , Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , PR China. FAU - Li, Jing-Xin AU - Li JX AD - c Vaccine Clinical Evaluation Department , Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , PR China. FAU - Luo, Li AU - Luo L AD - a Department of Public Health , Southeast University , Nanjing , PR China. FAU - Yang, Jia-Ying AU - Yang JY AD - a Department of Public Health , Southeast University , Nanjing , PR China. FAU - Liu, Pei AU - Liu P AD - a Department of Public Health , Southeast University , Nanjing , PR China. FAU - Yu, Jun AU - Yu J AD - d Corporate Representative , Jiangsu GDK Biotechnology Co., Ltd , Taizhou , PR China. LA - eng PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20170918 PL - England TA - Expert Rev Vaccines JT - Expert review of vaccines JID - 101155475 RN - 0 (Antibodies, Viral) RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Inactivated) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Viral/blood MH - Child MH - Child, Preschool MH - China MH - Double-Blind Method MH - Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Female MH - Hemagglutination Inhibition Tests MH - Humans MH - Influenza Vaccines/administration & dosage/*adverse effects/*immunology MH - Male MH - Middle Aged MH - Seroconversion MH - Vaccines, Inactivated/administration & dosage/adverse effects/immunology MH - Young Adult OTO - NOTNLM OT - Quadrivalent influenza vaccine OT - Victoria lineage OT - Yamagata lineage OT - clinical trial OT - immunogenicity OT - safety OT - seasonal influenza EDAT- 2017/09/06 06:00 MHDA- 2018/05/31 06:00 CRDT- 2017/09/06 06:00 PHST- 2017/09/06 06:00 [pubmed] PHST- 2018/05/31 06:00 [medline] PHST- 2017/09/06 06:00 [entrez] AID - 10.1080/14760584.2017.1374181 [doi] PST - ppublish SO - Expert Rev Vaccines. 2017 Nov;16(11):1155-1169. doi: 10.1080/14760584.2017.1374181. Epub 2017 Sep 18.