PMID- 28925801 OWN - NLM STAT- MEDLINE DCOM- 20190104 LR - 20240315 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 14 IP - 2 DP - 2018 Feb 1 TI - MF59-adjuvanted influenza vaccine (FLUAD(R)) elicits higher immune responses than a non-adjuvanted influenza vaccine (Fluzone(R)): A randomized, multicenter, Phase III pediatric trial in Mexico. PG - 386-395 LID - 10.1080/21645515.2017.1373227 [doi] AB - The poor immune response elicited by trivalent influenza vaccines (TIVs) in children can be enhanced by the addition of adjuvants. This observer-blind, randomized Phase III trial assessed the immunogenicity and safety of the MF59-adjuvanted trivalent influenza vaccine FLUAD(R) (aTIV) and a non-adjuvanted TIV, in healthy children (aged 6 to <72 months) from 3 centers in Mexico, during the 2014-2015 season. The primary objectives were to assess the non-inferiority of aTIV to TIV, measured by geometric mean titers (GMTs), and the safety of aTIV and TIV. Seroconversion was one of several secondary objectives. In total, 287 children were enrolled. The non-inferiority criteria for GMTs and seroconversion were met for aTIV for all 3 vaccine strains. Lower bounds of the 95% confidence intervals for all 3 aTIV:TIV vaccine ratios were >2, showing that the immunogenicity of aTIV was superior to that of TIV for all 3 strains. Solicited adverse events (AEs) were experienced more frequently with aTIV than TIV by younger children (aged 6 to <36 months), but were more frequent with TIV than aTIV in older children (aged 36 to <72 months) who had been vaccinated previously. More unsolicited AEs were associated with aTIV than the TIV. All AEs were of mild or moderate severity. No deaths, serious AEs, or AEs leading to premature withdrawal were reported. Overall, aTIV was highly immunogenic and was well tolerated in healthy children 6 to <72 months of age. These results indicate that aTIV may be a beneficial addition to national pediatric vaccination programs. FAU - Cruz-Valdez, Aurelio AU - Cruz-Valdez A AD - a Center of Investigation of Public Health, National Institute of Public Health , Cuernavaca , Morelos , Mexico. FAU - Valdez-Zapata, Gabriel AU - Valdez-Zapata G AD - b Department of Pediatric Investigation , UNAMIS , Merida , Yucatan , Mexico. FAU - Patel, Sanjay S AU - Patel SS AD - c Influenza Vaccines Development, Novartis Influenza Vaccines , Cambridge , MA , USA. FAU - Castelli, Flavia V AU - Castelli FV AD - d Vaccines R&D, GSK , Bs.As. , Argentina. FAU - Garcia, Marcia G AU - Garcia MG AD - e Vaccines R&D, GSK , Mexico City , Mexico. FAU - Jansen, Wim T AU - Jansen WT AD - f Department of BioStatistics GSK , Amsterdam , The Netherlands. FAU - Arora, Ashwani Kumar AU - Arora AK AD - g Clinical Development, Novartis Vaccines , Siena , Italy. FAU - Heijnen, Esther AU - Heijnen E AD - h Seasonal Influenza Vaccines, Seqirus , Amsterdam , The Netherlands. LA - eng SI - ClinicalTrials.gov/NCT02255279 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20180103 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Adjuvants, Immunologic) RN - 0 (Indoles) RN - 0 (Influenza Vaccines) RN - 0 (MF 592) RN - 0 (Sulfonylurea Compounds) SB - IM MH - Adjuvants, Immunologic MH - Child, Preschool MH - Female MH - Humans MH - Indoles/*pharmacology MH - Infant MH - Influenza A Virus, H1N1 Subtype/immunology MH - Influenza A Virus, H3N2 Subtype/immunology MH - Influenza B virus/immunology MH - Influenza Vaccines/administration & dosage/*immunology MH - Influenza, Human/*prevention & control MH - Male MH - Mexico/epidemiology MH - Sulfonylurea Compounds/*pharmacology PMC - PMC5806633 OTO - NOTNLM OT - MF59 OT - adjuvant OT - immunogenicity OT - influenza OT - safety OT - trivalent influenza vaccine EDAT- 2017/09/20 06:00 MHDA- 2019/01/05 06:00 PMCR- 2018/01/03 CRDT- 2017/09/20 06:00 PHST- 2017/09/20 06:00 [pubmed] PHST- 2019/01/05 06:00 [medline] PHST- 2017/09/20 06:00 [entrez] PHST- 2018/01/03 00:00 [pmc-release] AID - 1373227 [pii] AID - 10.1080/21645515.2017.1373227 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2018 Feb 1;14(2):386-395. doi: 10.1080/21645515.2017.1373227. Epub 2018 Jan 3.