PMID- 31070986 OWN - NLM STAT- MEDLINE DCOM- 20200514 LR - 20200514 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 15 IP - 12 DP - 2019 TI - A phase 2/3 double-blind, randomized, placebo-controlled study to evaluate the safety and immunogenicity of a seasonal trivalent inactivated split-virion influenza vaccine (IVACFLU-S) in healthy adults in Vietnam. PG - 2933-2939 LID - 10.1080/21645515.2019.1613127 [doi] AB - Background: Under the WHO's Global Action Plan for influenza vaccines, we conducted a phase 2-3 study of IVACFLU-S, a trivalent, seasonal inactivated influenza vaccine candidate.Methods: In the phase 2 portion of the study, 252 participants received one dose of 15 mcg hemagglutinin (HA) vaccine per strain or placebo. Following determination of safety, 636 additional participants were randomized in phase 3 to receive vaccine or placebo. Immunogenicity was assessed in a subset of the participants in the phase 3 study.Results: Higher proportion (70%) of participants in the IVACFLU-S arm reported solicited local adverse events (AEs) (p < .0001) as compared to placebo (25%). Mild injection site pain and tenderness were most common AEs seen in 55% and 60% of participants in the vaccine group. The solicited systemic AEs were comparable (p = .4149). The majority of solicited and unsolicited AEs were mild to moderate in severity. In the vaccine arm for the combined age group of 18-60 years of age, seroconversion against antigens A/H1N1, A/H3N2, and B was achieved in 70.3%, 76.1%, and 54.1% of participants respectively; seroprotection against antigens A/H1N1, A/H3N2, and B was achieved in 83.3%, 86.6%, and 60.3% of participants respectively; and the geometric mean fold rise for the hemagglutinin-inhibition (HI) antibody titers against antigen A/H1N1, A/H3N2, and B were 13.15, 11.85, and 5.87, respectively.Conclusion: This study demonstrates the local reactogenicity, other safety, and immunogenicity of IVACFLU-S, first domestically produced influenza vaccine in Vietnam.ClinicalTrials.gov number NCT03095599 (March 29, 2017). FAU - Lan, Phan Trong AU - Lan PT AD - Pasteur Institute, Ho Chi Minh City, Viet Nam. FAU - Toan, Nguyen Trong AU - Toan NT AD - Pasteur Institute, Ho Chi Minh City, Viet Nam. FAU - Thang, Hoang Anh AU - Thang HA AD - Pasteur Institute, Ho Chi Minh City, Viet Nam. FAU - Thang, Tran Cong AU - Thang TC AD - PATH, Hanoi, Viet Nam. FAU - Be, Le Van AU - Be LV AD - Institute of Vaccines and Medical Biologicals, Nha Trang, Viet Nam. FAU - Thai, Duong Huu AU - Thai DH AD - Institute of Vaccines and Medical Biologicals, Nha Trang, Viet Nam. FAU - Huong, Vu Minh AU - Huong VM AD - PATH, Hanoi, Viet Nam. FAU - Nga, Nguyen Tuyet AU - Nga NT AD - PATH, Hanoi, Viet Nam. FAU - Tang, Yuxiao AU - Tang Y AD - PATH, Seattle, WA, USA. FAU - Holt, Renee AU - Holt R AD - PATH, Seattle, WA, USA. FAU - Francesco, Berlanda Scorza AU - Francesco BS AD - PATH, Seattle, WA, USA. FAU - Flores, Jorge AU - Flores J AD - PATH, Seattle, WA, USA. FAU - Tewari, Tushar AU - Tewari T AUID- ORCID: 0000-0001-5842-8622 AD - PATH, Seattle, WA, USA. LA - eng SI - ClinicalTrials.gov/NCT03095599 PT - Clinical Trial, Phase II PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20190620 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 - Adolescent MH - Adult MH - Antibodies, Viral/*blood MH - Antigens, Viral/immunology MH - Double-Blind Method MH - Female MH - Healthy Volunteers MH - Humans MH - *Immunogenicity, Vaccine MH - Influenza A Virus, H1N1 Subtype MH - Influenza A Virus, H3N2 Subtype MH - Influenza Vaccines/adverse effects/*immunology MH - Influenza, Human/*prevention & control MH - Male MH - Middle Aged MH - Seroconversion MH - Vaccines, Inactivated/immunology MH - Vietnam MH - Young Adult PMC - PMC6930107 OTO - NOTNLM OT - Trivalent seasonal influenza vaccine OT - Vietnam OT - immunogenicity OT - safety EDAT- 2019/05/10 06:00 MHDA- 2020/05/15 06:00 PMCR- 2019/06/20 CRDT- 2019/05/10 06:00 PHST- 2019/05/10 06:00 [pubmed] PHST- 2020/05/15 06:00 [medline] PHST- 2019/05/10 06:00 [entrez] PHST- 2019/06/20 00:00 [pmc-release] AID - 1613127 [pii] AID - 10.1080/21645515.2019.1613127 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2019;15(12):2933-2939. doi: 10.1080/21645515.2019.1613127. Epub 2019 Jun 20.