PMID- 30906291 OWN - NLM STAT- MEDLINE DCOM- 20200917 LR - 20200917 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - Booster Vaccination With GVGH Shigella sonnei 1790GAHB GMMA Vaccine Compared to Single Vaccination in Unvaccinated Healthy European Adults: Results From a Phase 1 Clinical Trial. PG - 335 LID - 10.3389/fimmu.2019.00335 [doi] LID - 335 AB - The investigational Shigella sonnei vaccine (1790GAHB) based on GMMA (generalized modules for membrane antigens) is immunogenic, with an acceptable safety profile in adults. However, pre-vaccination anti-S. sonnei lipopolysaccharide (LPS) antibody levels seemed to impact vaccine-related immune responses. This phase 1, open-label, non-randomized extension study (ClinicalTrials.gov: NCT03089879) evaluated immunogenicity of a 1790GAHB booster dose in seven adults with undetectable antibodies prior to priming with three 1790GAHB vaccinations 2-3 years earlier (boosted group), compared to one dose in 28 vaccine-naive individuals (vaccine-naive group). Anti-S. sonnei LPS serum IgG geometric mean concentrations and seroresponse (increase of >/=25 EU or >/=50% from baseline antibody /=50 EU, respectively) rates were calculated at vaccination (day [D]1), D8, D15, D29, D85. Safety was assessed. Geometric mean concentrations at D8 were 168 EU (boosted group) and 32 EU (vaccine-naive group). Response peaked at D15 (883 EU) and D29 (100 EU) for the boosted and vaccine-naive groups. Seroresponse rates at D8 were 86% (boosted group) and 24% (vaccine-naive group) and increased at subsequent time points. Across both groups, pain (local) and fatigue (systemic) were the most frequent solicited adverse events (AEs). Unsolicited AEs were reported by 57% of boosted and 25% of vaccine-naive participants. No deaths, serious AEs, or AEs of special interest (except one mild neutropenia case, possibly vaccination-related) were reported. One 1790GAHB dose induced a significant booster response in previously-primed adults, regardless of priming dose, and strong immune response in vaccine-naive individuals. Vaccination was well tolerated. FAU - Launay, Odile AU - Launay O AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. AD - Inserm CIC 1417, F-CRIN I-REIVAC, Paris, France. AD - Assistance Publique Hopitaux de Paris, CIC Cochin-Pasteur, Paris, France. FAU - Ndiaye, Augustin G W AU - Ndiaye AGW AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Conti, Valentino AU - Conti V AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Loulergue, Pierre AU - Loulergue P AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. AD - Inserm CIC 1417, F-CRIN I-REIVAC, Paris, France. AD - Assistance Publique Hopitaux de Paris, CIC Cochin-Pasteur, Paris, France. FAU - Scire, Antonella Silvia AU - Scire AS AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Landre, Anais Maugard AU - Landre AM AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. AD - Inserm CIC 1417, F-CRIN I-REIVAC, Paris, France. AD - Assistance Publique Hopitaux de Paris, CIC Cochin-Pasteur, Paris, France. FAU - Ferruzzi, Pietro AU - Ferruzzi P AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Nedjaai, Naouel AU - Nedjaai N AD - Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. AD - Inserm CIC 1417, F-CRIN I-REIVAC, Paris, France. AD - Assistance Publique Hopitaux de Paris, CIC Cochin-Pasteur, Paris, France. FAU - Schutte, Lena Dorothee AU - Schutte LD AD - GSK, Marburg, Germany. FAU - Auerbach, Joachim AU - Auerbach J AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Marchetti, Elisa AU - Marchetti E AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Saul, Allan AU - Saul A AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Martin, Laura B AU - Martin LB AD - GSK Vaccines Institute for Global Health, Siena, Italy. FAU - Podda, Audino AU - Podda A AD - GSK Vaccines Institute for Global Health, Siena, Italy. LA - eng SI - ClinicalTrials.gov/NCT03089879 PT - Clinical Trial, Phase I PT - Journal Article DEP - 20190308 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antibodies, Bacterial) RN - 0 (Immunoglobulin G) RN - 0 (Lipopolysaccharides) RN - 0 (Shigella Vaccines) SB - IM MH - Adult MH - Antibodies, Bacterial/blood MH - Female MH - Healthy Volunteers MH - Humans MH - *Immunization, Secondary/adverse effects MH - Immunoglobulin G/blood MH - Immunologic Memory MH - Lipopolysaccharides/immunology MH - Male MH - Middle Aged MH - *Shigella Vaccines/adverse effects MH - Shigella sonnei/*immunology MH - Vaccination/adverse effects/*methods PMC - PMC6418009 OTO - NOTNLM OT - 1790GAHB OT - GMMA (generalized modules for membrane antigen) OT - Shigella sonnei OT - antibody persistence OT - booster response OT - safety EDAT- 2019/03/25 06:00 MHDA- 2020/09/18 06:00 PMCR- 2019/01/01 CRDT- 2019/03/26 06:00 PHST- 2019/01/04 00:00 [received] PHST- 2019/02/08 00:00 [accepted] PHST- 2019/03/26 06:00 [entrez] PHST- 2019/03/25 06:00 [pubmed] PHST- 2020/09/18 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.00335 [doi] PST - epublish SO - Front Immunol. 2019 Mar 8;10:335. doi: 10.3389/fimmu.2019.00335. eCollection 2019.