PMID- 34019468 OWN - NLM STAT- MEDLINE DCOM- 20211013 LR - 20211013 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 17 IP - 8 DP - 2021 Aug 3 TI - Sequential administration of Prevnar 13 and PNEUMOVAX 23 in healthy participants 50 years of age and older. PG - 2678-2690 LID - 10.1080/21645515.2021.1888621 [doi] AB - In most countries worldwide, pneumococcal conjugate vaccines have been included in the infant immunization program, resulting in a significant reduction in the burden of pneumococcal disease in children and adults. Shifting serotype distribution due to the indirect effect of infant vaccination with the 13-valent pneumococcal conjugate vaccine (PCV13) may continue to increase the gap between 23-valent pneumococcal polysaccharide vaccine (PPSV23) and PCV13 serotype coverage for older adults in the coming years. This clinical study (V110-029; NCT02225587) evaluated the safety and immunogenicity of sequential administration of PCV13 followed approximately 8 weeks later, or approximately 26 weeks later, by PPSV23 in healthy adults >/=50 years of age. Both dosing intervals were generally well tolerated as measured by the nature, frequency, and intensity of reported adverse events (AEs) in both vaccination groups. Serotype-specific opsonophagocytic activity (OPA) geometric mean titers (GMTs) measured 30 days following receipt of PPSV23 in either group and at Week 30 were generally comparable between the 2 groups for 6 serotypes unique to PPSV23 and 12 serotypes shared between PCV13 and PPSV23, regardless of the interval between receipt of PCV13 and PPSV23. In addition, administration of PPSV23 given either 8 weeks or 26 weeks following PCV13 did not negatively impact immune responses induced by PCV13. Furthermore, administration of PPSV23 given either 8 weeks or 26 weeks after PCV13 elicited serotype-specific OPA GMTs to serotypes unique to PPSV23, which could provide earlier protection against pneumococcal disease caused by these serotypes in comparison with the current Advisory Committee on Immunization Practices recommended interval of at least 12 months. FAU - Buchwald, Ulrike K AU - Buchwald UK AUID- ORCID: 0000-0002-6671-0115 AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Andrews, Charles P AU - Andrews CP AD - Diagnostics Research Group, San Antonio, TX, USA. FAU - Ervin, John AU - Ervin J AD - Alliance for Multispecialty Research, Knoxville, TN, USA. FAU - Peterson, James T AU - Peterson JT AD - Foothill Family Clinic, Salt Lake City, UT, USA. FAU - Tamms, Gretchen M AU - Tamms GM AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Krupa, David AU - Krupa D AD - IQVIA, Durham, NC, USA. FAU - Ajiboye, Patrick AU - Ajiboye P AD - IQVIA, Durham, NC, USA. FAU - Roalfe, Lucy AU - Roalfe L AD - University College London, London, UK. FAU - Krick, Andrea L AU - Krick AL AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Sterling, Tina M AU - Sterling TM AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Wang, Meihua AU - Wang M AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Martin, Jason C AU - Martin JC AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Stek, Jon E AU - Stek JE AUID- ORCID: 0000-0001-7521-874X AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Kohn, Melvin A AU - Kohn MA AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Folaranmi, Temitope AU - Folaranmi T AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Abeygunawardana, Chitrananda AU - Abeygunawardana C AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Hartzel, Jonathan AU - Hartzel J AD - Merck & Co., Inc., Kenilworth, NJ, USA. FAU - Musey, Luwy K AU - Musey LK AUID- ORCID: 0000-0001-5484-7037 AD - Merck & Co., Inc., Kenilworth, NJ, USA. CN - V110-029 Study Group LA - eng SI - ClinicalTrials.gov/NCT02225587 SI - EudraCT/2013-003027-11 PT - Journal Article DEP - 20210521 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Bacterial) RN - 0 (Heptavalent Pneumococcal Conjugate Vaccine) RN - 0 (Pneumococcal Vaccines) RN - 0 (Vaccines, Conjugate) SB - IM MH - Aged MH - Antibodies, Bacterial MH - Child MH - Double-Blind Method MH - Healthy Volunteers MH - Heptavalent Pneumococcal Conjugate Vaccine MH - Humans MH - *Pneumococcal Infections/prevention & control MH - Pneumococcal Vaccines MH - *Streptococcus pneumoniae MH - Vaccines, Conjugate/adverse effects PMC - PMC8475587 OTO - NOTNLM OT - Pneumococcal vaccine OT - immunogenicity OT - safety OT - sequential administration EDAT- 2021/05/22 06:00 MHDA- 2021/10/14 06:00 PMCR- 2021/05/21 CRDT- 2021/05/21 17:12 PHST- 2021/05/22 06:00 [pubmed] PHST- 2021/10/14 06:00 [medline] PHST- 2021/05/21 17:12 [entrez] PHST- 2021/05/21 00:00 [pmc-release] AID - 1888621 [pii] AID - 10.1080/21645515.2021.1888621 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2021 Aug 3;17(8):2678-2690. doi: 10.1080/21645515.2021.1888621. Epub 2021 May 21.