PMID- 31335572 OWN - NLM STAT- MEDLINE DCOM- 20200514 LR - 20200514 IS - 1532-0987 (Electronic) IS - 0891-3668 (Linking) VI - 38 IP - 9 DP - 2019 Sep TI - A Randomized, Double-blind, Active-controlled Phase III Trial of a Cell Culture-derived Quadrivalent Inactivated Influenza Vaccine in Healthy South Korean Children and Adolescents 6 Months to 18 Years of Age. PG - e209-e215 LID - 10.1097/INF.0000000000002406 [doi] AB - BACKGROUND: Cell culture-derived influenza vaccines have several important advantages over egg-based influenza vaccines. The quadrivalent influenza vaccine may offer broader protection against seasonal influenza than trivalent influenza vaccine by containing 1 more B strain. The purpose of this study was to evaluate the immunogenicity and safety of NBP607-QIV, a novel cell culture-derived inactivated quadrivalent influenza vaccine (cIIV4), in children and adolescents. METHODS: This phase III, randomized, double-blind, multicenter trial in children/adolescents (6 mo to 18 yr) was conducted in South Korea during 2014-2015 season. Subjects were randomized 4:1 to receive either NBP607-QIV or control inactivated trivalent influenza vaccine. Hemagglutination inhibition antibody titers were assessed in prevaccination and 28 days postvaccination sera. Safety data were collected for up to 6 months postvaccination. RESULTS: A total of 454 participants completed the study. Three-hundred sixty-six subjects received cIIV4 and 88 subjects received inactivated trivalent influenza vaccine. Overall, NBP607-QIV met the immunogenicity criteria of Committee for Medicinal Products for Human Use for each of the 4 strains. Between the NBP607-QIV and control groups, immunogenicity endpoints were comparable. Participants younger than 3 years of age had lower immunologic responses to 2 influenza B strains in both NBP607-QIV and control group. No deaths, vaccine-related serious adverse events (AEs) or withdrawals because of AEs were reported. The solicited AEs reported were generally of mild intensity. CONCLUSIONS: NBP607-QIV, a novel cIIV4, showed good immunogenicity to all 4 influenza strains and had tolerable safety profiles in children and adolescents. Moreover, NBP607-QIV was more immunogenic against influenza B compared with the control, an egg-based subunit vaccine. FAU - Eun, Byung Wook AU - Eun BW AD - From the Department of Pediatrics, Eulji University Eulji General Hospital, Seoul, Republic of Korea. FAU - Lee, Taek Jin AU - Lee TJ AD - Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea. FAU - Lee, Jina AU - Lee J AD - Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine. FAU - Kim, Ki Hwan AU - Kim KH AD - Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine. FAU - Kim, Dong Ho AU - Kim DH AD - Department of Pediatrics, Korea Cancer Center Hospital, Seoul, Republic of Korea. FAU - Jo, Dae Sun AU - Jo DS AD - Department of Pediatrics, Chonbuk National University Children's Hospital, Chonbuk National University Medical School, Jeonju, Republic of Korea. FAU - Shin, Sun Hee AU - Shin SH AD - Department of Pediatrics, Dongtan Sacred Heart Hospital. FAU - Kim, Hun AU - Kim H AD - SK Bioscience, Seongnam. FAU - Kim, Kyung-Ho AU - Kim KH AD - SK Bioscience, Seongnam. FAU - Kim, Yun-Kyung AU - Kim YK AD - Department of Pediatrics, Korea University Ansan Hospital, Gyeonggi-do, 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 PL - United States TA - Pediatr Infect Dis J JT - The Pediatric infectious disease journal JID - 8701858 RN - 0 (Antibodies, Viral) RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Inactivated) SB - IM MH - Adolescent MH - Animals MH - Antibodies, Viral/blood MH - Child MH - Child, Preschool MH - Dogs MH - Double-Blind Method MH - Female MH - Humans MH - *Immunogenicity, Vaccine MH - Infant MH - Influenza Vaccines/administration & dosage/*immunology MH - Influenza, Human/*prevention & control MH - Madin Darby Canine Kidney Cells MH - Male MH - Republic of Korea MH - Seasons MH - Vaccines, Inactivated/administration & dosage/immunology MH - Virus Cultivation EDAT- 2019/07/25 06:00 MHDA- 2020/05/15 06:00 CRDT- 2019/07/24 06:00 PHST- 2019/07/25 06:00 [pubmed] PHST- 2020/05/15 06:00 [medline] PHST- 2019/07/24 06:00 [entrez] AID - 10.1097/INF.0000000000002406 [doi] PST - ppublish SO - Pediatr Infect Dis J. 2019 Sep;38(9):e209-e215. doi: 10.1097/INF.0000000000002406.