PMID- 30904674 OWN - NLM STAT- MEDLINE DCOM- 20191024 LR - 20191024 IS - 1878-3511 (Electronic) IS - 1201-9712 (Linking) VI - 85S DP - 2019 Aug TI - Cumulative clinical experience with MF59-adjuvanted trivalent seasonal influenza vaccine in young children and adults 65 years of age and older. PG - S10-S17 LID - S1201-9712(19)30149-3 [pii] LID - 10.1016/j.ijid.2019.03.020 [doi] AB - OBJECTIVE: To assess the long-term safety of MF59-adjuvanted trivalent influenza vaccine (aIIV3; Fluad) in adults >/=65 years of age. METHODS: Data from 36 primary vaccination and 7 re-vaccination Phase I through III trials were analyzed; 7532 subjects received aIIV3 and 5198 subjects a nonadjuvanted trivalent inactivated influenza vaccine (IIV3). These trials were evaluated in 2 data poolings: first-dose randomized controlled trials (FD-RCT) and revaccination trials. Spontaneously reported adverse events (AEs) from post-marketing surveillance were also analyzed. RESULTS: The percentages of subjects reporting AEs following vaccination were similar between aIIV3 and IIV3: 24.8% for aIIV3 vs 26.7% for IIV3 (relative risk [RR] 0.94; 95% confidence interval [CI] 0.87-1.01). The percentage of subjects with serious AEs was 6.7% for aIIV3 vs 7.0% for IIV3 (RR 0.95; 95% CI 0.82-1.09). Percentages of subjects with AEs leading to withdrawal, hospitalizations, adverse events of special interest (AESIs), and deaths between vaccination groups were similar. There was no signal of disproportionality for AESIs associated with aIIV3 compared to IIV3 in the post-marketing database. CONCLUSIONS: This integrated safety analysis demonstrates an acceptable safety profile for aIIV3 in adults >/=65 years of age. CI - Copyright (c) 2019. Published by Elsevier Ltd. FAU - Lindert, Kelly AU - Lindert K AD - Novartis Vaccines & Diagnostics, Cambridge, MA, USA. FAU - Leav, Brett AU - Leav B AD - Seqirus Inc., Cambridge, MA, USA. Electronic address: brett.leav@seqirus.com. FAU - Heijnen, Esther AU - Heijnen E AD - Seqirus Inc., Amsterdam, The Netherlands. FAU - Barrett, Julia AU - Barrett J AD - Biologics Consulting, Alexandria, VA, USA. FAU - Nicolay, Uwe AU - Nicolay U AD - Novartis Vaccines & Diagnostics, GmbH Marburg, Germany. LA - eng PT - Journal Article DEP - 20190320 PL - Canada TA - Int J Infect Dis JT - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JID - 9610933 RN - 0 (Adjuvants, Immunologic) RN - 0 (Influenza Vaccines) RN - 0 (MF59 oil emulsion) RN - 0 (Polysorbates) RN - 0 (Vaccines, Inactivated) RN - 7QWM220FJH (Squalene) SB - IM MH - Adjuvants, Immunologic/*adverse effects MH - Aged MH - Child, Preschool MH - Clinical Trials as Topic MH - Female MH - Hospitalization MH - Humans MH - Immunization, Secondary MH - Influenza Vaccines/*adverse effects MH - Influenza, Human/prevention & control MH - Male MH - Mortality MH - Polysorbates/*adverse effects MH - Randomized Controlled Trials as Topic MH - Seasons MH - Squalene/*adverse effects MH - Vaccines, Inactivated/adverse effects OTO - NOTNLM OT - Adjuvant OT - Elderly OT - Influenza OT - MF59 OT - Safety OT - Vaccine EDAT- 2019/03/25 06:00 MHDA- 2019/10/28 06:00 CRDT- 2019/03/25 06:00 PHST- 2019/02/16 00:00 [received] PHST- 2019/03/12 00:00 [revised] PHST- 2019/03/14 00:00 [accepted] PHST- 2019/03/25 06:00 [pubmed] PHST- 2019/10/28 06:00 [medline] PHST- 2019/03/25 06:00 [entrez] AID - S1201-9712(19)30149-3 [pii] AID - 10.1016/j.ijid.2019.03.020 [doi] PST - ppublish SO - Int J Infect Dis. 2019 Aug;85S:S10-S17. doi: 10.1016/j.ijid.2019.03.020. Epub 2019 Mar 20.