Safety, immunogenicity and tolerability of a new pediatric tick-borne encephalitis (TBE) vaccine, free of protein-derived stabilizer

Vaccine. 2003 Sep 8;21(25-26):3584-92. doi: 10.1016/s0264-410x(03)00421-3.

Abstract

A total of 3,559 children aged 1-11 years were enrolled in two clinical studies to evaluate immunogenicity and safety of a new pediatric tick-borne encephalitis (TBE) vaccine, free of protein-derived stabilizer. Immunogenicity was evaluated in the rapid immunization schedule (Days 0, 7, and 21) from sera collected at baseline and on Day 42 post-immunization by in vitro TBE virus neutralization test. All subjects analyzed achieved levels of TBE antibodies to fulfil the definition of seroconversion or a four-fold increase in antibody titres from baseline. The frequency of solicited post-immunization reactions ranged from 1 to 32% for reported local reactions and from 1 to 14% for systemic reactions. Overall, this can be regarded as expected for an inactivated, aluminium-adjuvanted, TBE vaccine. There was no indication for any new safety issues. An acceptably low number of febrile reactions above 38 degrees C with the highest frequency after first immunization (i.e. 15% and 5% in children aged 1-2 and 3-11 years, respectively), mainly below 39 degrees C, was reported. The results of both studies clearly show that TBE vaccination with this new TBE vaccine formulation can be achieved with a high degree of safety in children from 1 to 11 years of age.

Publication types

  • Clinical Trial
  • Clinical Trial, Phase III
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Antibodies, Viral / analysis
  • Antibodies, Viral / biosynthesis
  • Chemistry, Pharmaceutical
  • Child
  • Child, Preschool
  • Encephalitis Viruses, Tick-Borne / immunology*
  • Encephalitis, Tick-Borne / immunology
  • Encephalitis, Tick-Borne / prevention & control*
  • Excipients
  • Female
  • Humans
  • Infant
  • Male
  • Single-Blind Method
  • Viral Vaccines / adverse effects
  • Viral Vaccines / chemistry
  • Viral Vaccines / immunology*

Substances

  • Antibodies, Viral
  • Excipients
  • Viral Vaccines