PMID- 38327239 OWN - NLM STAT- MEDLINE DCOM- 20240209 LR - 20240211 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 20 IP - 1 DP - 2024 Dec 31 TI - A phase 4, open-label study to evaluate the safety and immunogenicity of DTaP5-HBV-IPV-Hib in children previously vaccinated with DTaP2-HBV-IPV-Hib or DTaP5-HBV-IPV-Hib (V419-016). PG - 2310900 LID - 10.1080/21645515.2024.2310900 [doi] LID - 2310900 AB - DTaP5-HBV-IPV-Hib (Vaxelis(R)) is a hexavalent combination vaccine (HV) indicated in infants and toddlers for the prevention of diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis, and invasive disease due to Haemophilus influenzae type b. Switching between HVs during the childhood vaccination series is sometimes necessary due to, for example, vaccine availability, health-care provider preference, and/or tender awards. The purpose of this study was to describe the safety, tolerability, and immunogenicity of a booster dose of Vaxelis(R) in participants who previously received a primary infant series of either DTaP2-HBV-IPV-Hib (Hexyon(R)) or Vaxelis(R). Healthy participants approximately 11-13 months of age who previously received a two-dose primary series of Hexyon(R) (HHV group) or Vaxelis(R) (VVV group) all received a Vaxelis(R) booster dose. Immunogenicity was evaluated by measuring antibody levels to individual vaccine antigens approximately 30 days following booster vaccination. Safety was evaluated as the proportion of participants with adverse events (AEs). The proportions of participants with antibody-specific responses for antigens contained in both Vaxelis(R) and Hexyon(R) at 30 days post-toddler-booster vaccination with Vaxelis(R) were comparable between groups, and higher in the VVV group for Vaxelis(R) antigens PRN and FIM2/3. The overall proportions of participants with AEs were generally comparable between groups. Following a booster dose of Vaxelis(R), immune responses were comparable between groups for all shared antigens, and higher in the VVV group for antigens found only in Vaxelis(R). The booster was well tolerated in both groups. These data support the use of Vaxelis(R) as a booster in mixed HV regimens. FAU - Guerra, Andrea AU - Guerra A AD - Research, MSD (UK) Limited, London, UK. FAU - Costantino, Claudio AU - Costantino C AD - Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Excellence Specialties, University of Palermo, Palermo, Italy. FAU - Martinon-Torres, Federico AU - Martinon-Torres F AD - Translational Pediatrics and Infectious Diseases, Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain. AD - GENVIP Research Group (www.genvip.eu), Instituto de Investigacion Sanitaria de Santiago, Universidad de Santiago de Compostela, Santiago de Compostela, Spain. AD - Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain. FAU - Westerholt, Soeren AU - Westerholt S AD - Pediatrics, Praxis fur Kinder- und Jugendmedizin, Wolfsburg, Germany. FAU - Lambeth, Courtney AU - Lambeth C AD - Research, Merck & Co., Inc., Rahway, USA. FAU - Chen, Ziqiang AU - Chen Z AD - Research, Merck & Co., Inc., Rahway, USA. FAU - Lumley, Jessie AU - Lumley J AD - Research, Merck & Co., Inc., Rahway, USA. FAU - Marcek, Tomas AU - Marcek T AD - Vaccine, MCM Vaccine B.V, Leiden, Netherlands. FAU - Johnson, David AU - Johnson D AD - Vaccine, Sanofi Vaccines, Swiftwater, USA. FAU - Wilck, Marissa AU - Wilck M AUID- ORCID: 0000-0002-6890-1118 AD - Research, Merck & Co., Inc., Rahway, USA. LA - eng PT - Clinical Trial, Phase IV PT - Journal Article DEP - 20240208 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Diphtheria-Tetanus-Pertussis Vaccine) RN - 0 (Vaccines, Combined) RN - 0 (Poliovirus Vaccine, Inactivated) RN - 0 (Hepatitis B Vaccines) RN - 0 (Haemophilus Vaccines) RN - 0 (Antibodies, Bacterial) SB - IM MH - Humans MH - Infant MH - *Haemophilus influenzae type b MH - Hepatitis B virus MH - Diphtheria-Tetanus-Pertussis Vaccine MH - Vaccines, Combined MH - *Tetanus/prevention & control MH - *Diphtheria/prevention & control MH - *Whooping Cough/prevention & control MH - Poliovirus Vaccine, Inactivated MH - Hepatitis B Vaccines MH - *Haemophilus Vaccines MH - Immunization Schedule MH - Antibodies, Bacterial PMC - PMC10857551 OTO - NOTNLM OT - V419 OT - Vaxelis OT - hexavalent combination vaccine OT - immunogenicity OT - interchangeability OT - pediatric OT - safety OT - vaccine COIS- A.G., C.L., Z.C., J.L., and M.W. are employees of MSD and may hold stock in Merck & Co., Inc., Rahway, NJ, USA. F.M.-T. has received honoraria from Astra Zeneca, GSK, Pfizer Inc, Sanofi, MSD, Seqirus, Moderna, Novavax, Biofabri, and Janssen for taking part in advisory boards and expert meetings and for acting as a speaker in congresses outside the scope of the submitted work. F.M.-T. has also acted as principal investigator in randomized controlled trials of the above-mentioned companies as well as Ablynx, Gilead, Regeneron, Roche, Abbott, and MedImmune, with honoraria paid to his institution. T.M. is an employee of MCM Vaccine B.V. D.J. is a full-time employee of Sanofi Vaccines, and annually receives Sanofi stock options. All other authors have no relevant conflicts of interest to disclose. EDAT- 2024/02/08 06:42 MHDA- 2024/02/09 06:43 PMCR- 2024/02/08 CRDT- 2024/02/08 03:59 PHST- 2024/02/09 06:43 [medline] PHST- 2024/02/08 06:42 [pubmed] PHST- 2024/02/08 03:59 [entrez] PHST- 2024/02/08 00:00 [pmc-release] AID - 2310900 [pii] AID - 10.1080/21645515.2024.2310900 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2024 Dec 31;20(1):2310900. doi: 10.1080/21645515.2024.2310900. Epub 2024 Feb 8.