PMID- 38400155 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240227 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 12 IP - 2 DP - 2024 Feb 7 TI - MV130 in the Prevention of Recurrent Respiratory Tract Infections: A Retrospective Real-World Study in Children and Adults. LID - 10.3390/vaccines12020172 [doi] LID - 172 AB - Respiratory tract infections (RTIs) are among the most common and important problems in clinical medicine, making antibiotics the gold standard therapeutic option regardless of their frequent viral etiology. Their excessive and inappropriate use contributes to the rapid rise of antibiotic resistance and underscores the need for alternative strategies, especially when dealing with recurrent RTIs. Prevention is the ideal alternative, but specific vaccines targeting a wide range of respiratory pathogens are scarce. MV130 is a sublingual bacterial vaccine that induces trained immunity and provides non-specific protection against respiratory pathogens in various clinical settings according to the concept of TIbV (Trained Immunity-based Vaccine). A retrospective real-world study (RWS) was conducted to evaluate the annual incidence of RTIs and the consumption of antibiotics before and after the administration of MV130, using data sourced from the medical records of 599 patients (186 children and 413 adults) who suffered from recurrent RTIs. The median number of infectious episodes in children was significantly reduced by more than 70% from 5 episodes (interquartile range (IQR) 4.0-6.0) to 1 (IQR, 0.0-2.0) (p < 0.001) after MV130. Similarly, in adults, the median number of episodes before MV130 immunization was 5 (IQR, 4.0-6.0), which dropped by more than 80% to 1 (IQR, 0.0-1.0) during the year following MV130 immunization (p < 0.001). The median number of antibiotic courses also significantly decreased for both children and adults by over 80% (p < 0.001). This RWS showed that MV130 is an effective strategy for the prevention of respiratory infections and the reduction of associated antibiotic consumption. FAU - Montalban-Hernandez, Karla AU - Montalban-Hernandez K AUID- ORCID: 0000-0002-1612-103X AD - Inmunotek S.L., 28805 Madrid, Spain. FAU - Cogollo-Garcia, Ana AU - Cogollo-Garcia A AD - Inmunotek S.L., 28805 Madrid, Spain. FAU - Giron de Velasco-Sada, Patricia AU - Giron de Velasco-Sada P AD - Inmunotek S.L., 28805 Madrid, Spain. FAU - Caballero, Raquel AU - Caballero R AD - Inmunotek S.L., 28805 Madrid, Spain. FAU - Casanovas, Miguel AU - Casanovas M AUID- ORCID: 0000-0003-2330-3963 AD - Inmunotek S.L., 28805 Madrid, Spain. FAU - Subiza, Jose Luis AU - Subiza JL AUID- ORCID: 0000-0002-0134-5321 AD - Inmunotek S.L., 28805 Madrid, Spain. FAU - Conejero, Laura AU - Conejero L AUID- ORCID: 0000-0001-6515-9221 AD - Inmunotek S.L., 28805 Madrid, Spain. LA - eng PT - Journal Article DEP - 20240207 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC10893268 OTO - NOTNLM OT - MV130 OT - lower respiratory tract infections OT - real world study OT - recurrent respiratory tract infections OT - respiratory tract infections OT - trained immunity-based vaccines OT - upper respiratory tract infections COIS- All authors are Inmunotek S.L. employees. EDAT- 2024/02/24 11:43 MHDA- 2024/02/24 11:44 PMCR- 2024/02/07 CRDT- 2024/02/24 01:23 PHST- 2023/12/06 00:00 [received] PHST- 2024/01/25 00:00 [revised] PHST- 2024/01/30 00:00 [accepted] PHST- 2024/02/24 11:44 [medline] PHST- 2024/02/24 11:43 [pubmed] PHST- 2024/02/24 01:23 [entrez] PHST- 2024/02/07 00:00 [pmc-release] AID - vaccines12020172 [pii] AID - vaccines-12-00172 [pii] AID - 10.3390/vaccines12020172 [doi] PST - epublish SO - Vaccines (Basel). 2024 Feb 7;12(2):172. doi: 10.3390/vaccines12020172.