PMID- 33132297 OWN - NLM STAT- MEDLINE DCOM- 20210823 LR - 20210823 IS - 1884-2836 (Electronic) IS - 1344-6304 (Linking) VI - 74 IP - 3 DP - 2021 May 24 TI - Immunogenicity and Safety of a Two-Dose Series of a Meningococcal (Groups A, C, W, and Y) Polysaccharide Diphtheria Toxoid Conjugate Vaccine (Men-ACWY-D) in Healthy Japanese Adults. PG - 193-199 LID - 10.7883/yoken.JJID.2020.411 [doi] AB - The quadrivalent meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Men-ACWY-D) has been licensed for use in Japan since 2014. An earlier registration study demonstrated the immunogenicity of a single dose in Japanese adults, wherein the immunogenicity against serogroup C was the lowest. The determination of the potential to increase the serogroup C response with a second dose was, therefore, of interest. This study (NCT02591290) evaluated the safety and immunogenicity of two doses administered 8 weeks apart to 60 healthy Japanese adults aged 20-55 years. Blood samples were collected at 28-35 days after vaccination. Immunogenicity endpoints included seroprotection and seroconversion rates. Safety assessments included systemic adverse events (AEs), non-serious AEs, and serious AEs. Fifty-eight participants (96.7%) completed the study. The seroprotection rates for serogroups A, C, W, and Y before vaccination were 76.8%, 26.8%, 26.8%, and 50.0%, respectively, increasing to 100%, 83.9%, 91.1%, and 96.4% and 100%, 92.9%, 94.6%, and 94.6%, respectively, after two doses. The seroconversion rates for the four serogroups were 100%, 93.8%, 97.1%, and 94.1%, respectively, after the first dose, and 100%, 96.9%, 100%, and 100%, respectively, after the second. The increase between the doses was insignificant, and there were no safety concerns. The two-dose series was well tolerated; however, the clinical benefits of a second dose within 8 weeks seemed to be low. FAU - Matsuoka, Osamu AU - Matsuoka O AD - Medical Corporation Heishinkai ToCROM Clinic, Japan. FAU - Tsuzuki, Daisuke AU - Tsuzuki D AD - Sanofi K. K., Japan. FAU - Suzuki, Katsuhisa AU - Suzuki K AD - Sanofi K. K., Japan. FAU - Tanaka, Tomoyuki AU - Tanaka T AD - Sanofi K. K., Japan. FAU - Takagi, Yoshiharu AU - Takagi Y AD - Sanofi K. K., Japan. FAU - Oster, Philipp AU - Oster P AD - Sanofi Pasteur, France. LA - eng PT - Clinical Trial, Phase IV PT - Journal Article DEP - 20201030 PL - Japan TA - Jpn J Infect Dis JT - Japanese journal of infectious diseases JID - 100893704 RN - 0 (Antibodies, Bacterial) RN - 0 (Diphtheria Toxoid) RN - 0 (Meningococcal Vaccines) RN - 0 (Vaccines, Conjugate) SB - IM MH - Adult MH - Antibodies, Bacterial/blood MH - Diphtheria Toxoid MH - Female MH - Humans MH - Immunization Schedule MH - Japan MH - Male MH - Meningitis, Meningococcal/prevention & control MH - Meningococcal Vaccines/blood/*immunology/*pharmacology MH - Middle Aged MH - Serogroup MH - Vaccines, Conjugate/pharmacology MH - Young Adult OTO - NOTNLM OT - Japan OT - Men-ACWY-D OT - immunogenicity OT - meningococcal conjugate vaccine OT - safety EDAT- 2020/11/03 06:00 MHDA- 2021/08/24 06:00 CRDT- 2020/11/02 06:11 PHST- 2020/11/03 06:00 [pubmed] PHST- 2021/08/24 06:00 [medline] PHST- 2020/11/02 06:11 [entrez] AID - 10.7883/yoken.JJID.2020.411 [doi] PST - ppublish SO - Jpn J Infect Dis. 2021 May 24;74(3):193-199. doi: 10.7883/yoken.JJID.2020.411. Epub 2020 Oct 30.