PMID- 30431387 OWN - NLM STAT- MEDLINE DCOM- 20200212 LR - 20200309 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 15 IP - 2 DP - 2019 TI - Immunogenicity and safety of a combined DTPa-IPV/Hib vaccine administered as a three-dose primary vaccination course in healthy Korean infants: phase III, randomized study. PG - 317-326 LID - 10.1080/21645515.2018.1536588 [doi] AB - We assessed the immunogenicity and safety of a three-dose primary vaccination schedule with the combined diphtheria-tetanus-acellular pertussis-inactivated poliovirus/Haemophilus influenzae type b vaccine (DTPa-IPV/Hib) in Korean infants. In this phase III open-label, multicenter study (NCT01309646), healthy infants aged 42-69 days (randomized 1:1) received three doses of either pentavalent DTPa-IPV/Hib (DTPa-IPV/Hib group) or DTPa-IPV and Hib vaccines administered separately (DTPa-IPV+Hib group) at 2, 4, 6 months of age. The primary objective was to demonstrate non-inferiority of DTPa-IPV/Hib compared to DTPa-IPV+Hib vaccines in terms of immune responses to all vaccine antigens, 1 month post-dose 3. Solicited symptoms (local and general) were recorded during 4 days, and unsolicited adverse events (AEs) during 31 days, after each vaccination. Serious AEs (SAEs) were recorded throughout the study duration. The immunogenicity of the pentavalent DTPa-IPV/Hib vaccine was non-inferior compared to concomitant administration of DTPa-IPV+Hib vaccines. One month post-dose 3, nearly all infants had antibody levels above the seroprotective thresholds for anti-diphtheria toxoid, anti-tetanus toxoid, anti-polyribosyl-ribitol phosphate, and anti-poliovirus type 1, 2 and 3, and had antibody levels above the seropositive thresholds for anti-pertussis toxoid (PT), anti-filamentous hemagglutinin (FHA) and anti-pertactin (PRN) antibodies. A vaccine response for PT, FHA and PRN was observed in at least 96.7% of study participants. Anti-PRP geometric mean concentrations appeared lower for the DTPa-IPV/Hib group (8.456 microg/mL) than for the DTPa-IPV+Hib group (18.700 microg/mL). In both groups, the most common solicited symptoms were injection site redness and irritability. Fifty-seven SAEs were reported throughout the study; none were considered to be vaccination related. FAU - Kim, Ki Hwan AU - Kim KH AD - a Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea Incheon, The Republic of Korea. FAU - Kim, Chun Soo AU - Kim CS AD - b Keimyung University School of Medicine , Daegu , The Republic of Korea. FAU - Kim, Hwang Min AU - Kim HM AUID- ORCID: 0000-0002-0329-1371 AD - c Yonsei University Wonju College of Medicine , Wonju , The Republic of Korea. FAU - Kim, Jong-Duck AU - Kim JD AD - d Wonkwang University Hospital , Iksan , The Republic of Korea. FAU - Ma, Sang Hyuk AU - Ma SH AD - e Changwon Fatima Hospital , Changwon , The Republic of Korea. FAU - Kim, Dong Ho AU - Kim DH AD - f Korea Cancer Center Hospital , Seoul , The Republic of Korea. FAU - Hwang, Pyoung-Han AU - Hwang PH AD - g Chonbuk National University Hospital, Chonbuk National University Medical School , Jeonju , The Republic of Korea. FAU - Han, Ji-Whan AU - Han JW AD - h Uijeongbu St. Mary's Hospital , The Catholic University of Korea , Uijeongbu , The Republic of Korea. FAU - Lee, Taek-Jin AU - Lee TJ AUID- ORCID: 0000-0002-8912-6982 AD - i Bundang CHA Hospital , Seongnam , The Republic of Korea. FAU - Kim, Joon Hyung AU - Kim JH AUID- ORCID: 0000-0002-6014-3543 AD - j GSK , Seoul , The Republic of Korea. FAU - Karkada, Naveen AU - Karkada N AD - k GSK , Wavre , Belgium. FAU - Mesaros, Narcisa AU - Mesaros N AD - k GSK , Wavre , Belgium. FAU - Sohn, Woo-Yun AU - Sohn WY AD - l GSK , Seoul , The Republic of Korea. FAU - Kim, Jong-Hyun AU - Kim JH AD - m St. Vincent's Hospital, College of Medicine , The Catholic University of Korea , Suwon , The Republic of 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, Bacterial) RN - 0 (Antibodies, Viral) RN - 0 (DTPP vaccine) RN - 0 (Diphtheria-Tetanus-Pertussis Vaccine) RN - 0 (Haemophilus Vaccines) RN - 0 (Poliovirus Vaccine, Inactivated) RN - 0 (Vaccines, Combined) SB - IM MH - Antibodies, Bacterial/*blood MH - Antibodies, Viral/*blood MH - Diphtheria-Tetanus-Pertussis Vaccine/administration & dosage/*immunology MH - Dose-Response Relationship, Immunologic MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - Haemophilus Vaccines/administration & dosage/*immunology MH - Humans MH - *Immunization Schedule MH - *Immunogenicity, Vaccine MH - Infant MH - Male MH - Poliovirus Vaccine, Inactivated/administration & dosage/*immunology MH - Republic of Korea MH - Vaccines, Combined/administration & dosage/immunology PMC - PMC6422512 OTO - NOTNLM OT - type b OT - DTPa-IPV/Hib OT - acellular pertussis OT - diphtheria OT - immunogenicity OT - infants OT - poliovirus OT - reactogenicity OT - safety OT - tetanus EDAT- 2018/11/16 06:00 MHDA- 2020/02/13 06:00 PMCR- 2018/11/15 CRDT- 2018/11/16 06:00 PHST- 2018/11/16 06:00 [pubmed] PHST- 2020/02/13 06:00 [medline] PHST- 2018/11/16 06:00 [entrez] PHST- 2018/11/15 00:00 [pmc-release] AID - 1536588 [pii] AID - 10.1080/21645515.2018.1536588 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2019;15(2):317-326. doi: 10.1080/21645515.2018.1536588. Epub 2018 Nov 15.