PMID- 30396317 OWN - NLM STAT- MEDLINE DCOM- 20200226 LR - 20200309 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 15 IP - 3 DP - 2019 TI - Immunogenicity and safety of an egg-based inactivated quadrivalent influenza vaccine (GC3110A) versus two inactivated trivalent influenza vaccines with alternate B strains: A phase Ⅲ randomized clinical trial in adults. PG - 710-716 LID - 10.1080/21645515.2018.1536589 [doi] AB - Two antigenically distinct influenza B lineage viruses (Yamagata/Victoria) have been co-circulating globally since the mid-1980s. The quadrivalent influenza vaccine (QIV) may provide better protection against unpredictable B strains. We conducted a randomized, double-blind, phase III trial to evaluate the immunogenicity and safety of an egg-based inactivated, split-virion QIV (GC3110A). Subjects aged >/= 19 years were randomized 2:1:1 to be vaccinated with QIV- GC3110A, trivalent influenza vaccine (TIV) containing the Yamagata lineage strain (TIV-Yamagata), or TIV containing the Victoria lineage strain (TIV-Victoria). Hemagglutination inhibition assays were performed 21 days post-vaccination. Solicited/unsolicited adverse events (AEs) were assessed within 21 days after vaccination, while serious AEs were reported up to six months after vaccination. A total of 1,299 were randomized to receive QIV-GC3110A (648 subjects), TIV-Yamagata (325 subjects), or TIV-Victoria (326 subjects). Compared to the TIVs, the QIV-GC3110A met the non-inferiority criteria for all four subtype/lineage strains with respect to the geometric mean titer (GMT) ratio and the difference of seroconversion rate. The safety profiles of QIV-GC3110A were consistent with those of TIV. In conclusion, QIV-GC3110A is safe, immunogenic, and comparable to strain-matched TIV. FAU - Song, Joon Young AU - Song JY AUID- ORCID: 0000-0002-0148-7194 AD - a Division of Infectious Diseases, Department of Internal Medicine , Korea University College of Medicine1 , Seoul , Korea. FAU - Lee, Jacob AU - Lee J AD - b Division of Infectious Diseases, Department of Internal Medicine, Kangnam Sacred Heart Hospital , Hallym University College of Medicine , Seoul , Korea. FAU - Woo, Heung Jeong AU - Woo HJ AD - c Division of Infectious Diseases, Department of Internal Medicine, Dongtan Sacred Heart Hospital , Hallym University College of Medicine , Hwasung , Korea. FAU - Wie, Seong-Heon AU - Wie SH AD - d Division of Infectious Diseases, Department of Internal Medicine , Catholic University Medical College, St. Vincent's Hospital , Suwon , Korea. FAU - Lee, Jin Soo AU - Lee JS AD - e Division of Infectious Diseases, Department of Internal Medicine , Inha University College of Medicine , Incheon , Korea. FAU - Kim, Shin Woo AU - Kim SW AD - f Division of Infectious Diseases, Department of Internal Medicine , Kyungpook National University School of Medicine , Daegu , Korea. FAU - Kim, Tae Hyong AU - Kim TH AD - g Division of Infectious Diseases, Department of Internal Medicine , Soon Chun Hyang University Hospital, Soon Chun Hyang University College of Medicine , Seoul , Korea. FAU - Jung, Sook-In AU - Jung SI AD - h Division of Infectious Diseases, Department of Internal Medicine, Chonnam National University Medical School , Chonnam National University Hospital , Gwangju , Korea. FAU - Noh, Ji Yun AU - Noh JY AD - a Division of Infectious Diseases, Department of Internal Medicine , Korea University College of Medicine1 , Seoul , Korea. FAU - Choi, Won Suk AU - Choi WS AD - a Division of Infectious Diseases, Department of Internal Medicine , Korea University College of Medicine1 , Seoul , Korea. FAU - Cheong, Hee Jin AU - Cheong HJ AD - a Division of Infectious Diseases, Department of Internal Medicine , Korea University College of Medicine1 , Seoul , Korea. FAU - Kim, Woo Joo AU - Kim WJ AD - a Division of Infectious Diseases, Department of Internal Medicine , Korea University College of Medicine1 , Seoul , Korea. LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20181115 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Viral) RN - 0 (Antigens, Viral) RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Inactivated) SB - IM MH - Adult MH - Antibodies, Viral/*blood MH - Antigens, Viral/chemistry/immunology MH - Double-Blind Method MH - Drug-Related Side Effects and Adverse Reactions MH - Eggs MH - Female MH - Humans MH - *Immunogenicity, Vaccine MH - Influenza A virus/*immunology MH - Influenza B virus/*immunology MH - Influenza Vaccines/chemistry/*immunology MH - Influenza, Human/prevention & control MH - Male MH - Middle Aged MH - Seroconversion MH - Vaccination MH - Vaccines, Inactivated/chemistry/immunology PMC - PMC6605850 OTO - NOTNLM OT - Inactivated quadrivalent influenza vaccine OT - Influenza B OT - victoria lineage OT - yamagata lineage EDAT- 2018/11/07 06:00 MHDA- 2020/02/27 06:00 PMCR- 2019/11/15 CRDT- 2018/11/07 06:00 PHST- 2018/11/07 06:00 [pubmed] PHST- 2020/02/27 06:00 [medline] PHST- 2018/11/07 06:00 [entrez] PHST- 2019/11/15 00:00 [pmc-release] AID - 1536589 [pii] AID - 10.1080/21645515.2018.1536589 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2019;15(3):710-716. doi: 10.1080/21645515.2018.1536589. Epub 2018 Nov 15.