PMID- 29470934 OWN - NLM STAT- MEDLINE DCOM- 20190128 LR - 20190128 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 14 IP - 6 DP - 2018 Jun 3 TI - Bivalent oral cholera vaccine in participants aged 1 year and older in the Dominican Republic: A phase III, single-arm, safety and immunogenicity trial. PG - 1403-1411 LID - 10.1080/21645515.2018.1430540 [doi] AB - The Dominican Republic, historically non-endemic for cholera, is experiencing an ongoing cholera epidemic. We assessed the safety and immunogenicity of two doses of the killed bivalent (O1 and O139) whole-cell oral cholera vaccine (OCV) on day (D)0 and D14 in healthy participants aged >/=1 year. Immediate unsolicited systemic adverse events (AEs) were monitored up to 30 minutes and solicited systemic reactions, up to 7 days after each vaccination. Unsolicited AEs were recorded up to D14 (post-dose 1) and 30 days post-dose 2. A vibriocidal antibody assay with microtiter technique was used to measure serum antibodies to V. cholerae strains (O1 El Tor Inaba, O1 El Tor Ogawa, O139) on D0, D14 and D28. Geometric mean titers (GMTs) and seroconversion (>/=4-fold increase from D0) rates were calculated. We recruited 336 participants; 112 in three age groups (1-4, 5-14 and >/=15 years). No safety concerns were observed. GMTs increased from baseline for all serotypes, with marked increases for O1 Inaba and Ogawa post-dose 1. Post-dose 2 GMTs tended to be equal or slightly lower, with ranges: O1 Inaba, 283 (95% confidence interval 191-419) to 612 (426-880); O1 Ogawa, 346 (223-536) to 754 (553-1028); and O139, 20.3 (13.5-30.6) to 43.8 (30.1-63.7). Seroconversion rates post-dose 2 for O1 Inaba and Ogawa were high (>/=87%) for all age groups. OCV demonstrated an acceptable safety profile and robust immunogenicity in these participants, in-line with previous observations in epidemic and endemic settings.This study is registered on www.clinicaltrials.gov (NCT02434822). FAU - Cordero De Los Santos, Lina AU - Cordero De Los Santos L AD - a CAIMED Dominicana S.A.S., Investigacion en Salud , Santo Domingo , Dominican Republic. FAU - Feris-Iglesias, Jesus AU - Feris-Iglesias J AD - b Hospital Infantil Dr. Robert Reid Cabral, Centro de los Heroes, Departamento de Enfermedades Infecciosas , Santo Domingo , Dominican Republic. FAU - Aloysia D'Cor, Naveena AU - Aloysia D'Cor N AD - c Clinical R&D, Shantha Biotechnics Private Limited (A Sanofi Company) , Basheerbagh, Hyderabad , Telangana , India. FAU - Midde, Venkata Jayanth AU - Midde VJ AD - c Clinical R&D, Shantha Biotechnics Private Limited (A Sanofi Company) , Basheerbagh, Hyderabad , Telangana , India. FAU - Patnaik, Badri Narayan AU - Patnaik BN AD - c Clinical R&D, Shantha Biotechnics Private Limited (A Sanofi Company) , Basheerbagh, Hyderabad , Telangana , India. FAU - Thollot, Yael AU - Thollot Y AD - d Medical Department , Sanofi Pasteur , Lyon , France. FAU - Rasuli, Anvar AU - Rasuli A AD - d Medical Department , Sanofi Pasteur , Lyon , France. FAU - Desauziers, Eric AU - Desauziers E AD - d Medical Department , Sanofi Pasteur , Lyon , France. LA - eng SI - ClinicalTrials.gov/NCT02434822 PT - Clinical Trial, Phase III PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180222 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Bacterial) RN - 0 (Cholera Vaccines) RN - 0 (Vaccines, Inactivated) SB - IM MH - Administration, Oral MH - Adolescent MH - Adult MH - Antibodies, Bacterial/*blood MH - Child MH - Child, Preschool MH - Cholera/*prevention & control MH - Cholera Vaccines/administration & dosage/*adverse effects/*immunology MH - Dominican Republic MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Female MH - Healthy Volunteers MH - Humans MH - Infant MH - Male MH - Serogroup MH - Vaccines, Inactivated/administration & dosage/adverse effects/immunology MH - Vibrio cholerae/immunology MH - Young Adult PMC - PMC6037475 OTO - NOTNLM OT - Dominican Republic OT - OCV OT - Shanchol OT - bivalent oral cholera vaccine OT - cholera OT - immunogenicity OT - safety EDAT- 2018/02/23 06:00 MHDA- 2019/01/29 06:00 PMCR- 2018/02/22 CRDT- 2018/02/23 06:00 PHST- 2018/02/23 06:00 [pubmed] PHST- 2019/01/29 06:00 [medline] PHST- 2018/02/23 06:00 [entrez] PHST- 2018/02/22 00:00 [pmc-release] AID - 1430540 [pii] AID - 10.1080/21645515.2018.1430540 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2018 Jun 3;14(6):1403-1411. doi: 10.1080/21645515.2018.1430540. Epub 2018 Feb 22.