Phase II trial of whole-cell pertussis vaccine vs an acellular vaccine containing agglutinogens

Lancet. 1991 Jan 12;337(8733):70-3. doi: 10.1016/0140-6736(91)90735-8.

Abstract

An acellular pertussis vaccine containing agglutinogens 2 and 3, pertussis toxin, and filamentous haemagglutinin was developed by the Centre for Applied Microbiology and Research in the UK. 188 infants were entered into a randomised blind trial and received either the acellular or a whole-cell vaccine, combined with diphtheria and tetanus toxoids, in a 3, 5, and 8-10 month schedule. Local reactions were similar in the two groups but significantly fewer infants had systemic symptoms after the acellular vaccine. Mean log-antibody titres to the agglutinogen and toxin components were higher with the acellular than with the whole-cell vaccine. Persistence of antibodies one year after the third dose was also better in the acellular group.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Bacterial / analysis*
  • Bacterial Vaccines / adverse effects
  • Bacterial Vaccines / classification
  • Bacterial Vaccines / immunology*
  • Diphtheria-Tetanus-Pertussis Vaccine / adverse effects
  • Diphtheria-Tetanus-Pertussis Vaccine / immunology*
  • Erythema / etiology
  • Evaluation Studies as Topic
  • Female
  • Fimbriae, Bacterial / immunology*
  • Hemagglutinins / immunology*
  • Humans
  • Immunization Schedule
  • Infant
  • Male
  • Pertussis Toxin*
  • Surveys and Questionnaires
  • Time Factors
  • Virulence Factors, Bordetella / immunology*
  • Whooping Cough / immunology*
  • Whooping Cough / prevention & control

Substances

  • Antibodies, Bacterial
  • Bacterial Vaccines
  • Diphtheria-Tetanus-Pertussis Vaccine
  • Hemagglutinins
  • Virulence Factors, Bordetella
  • Pertussis Toxin