Effect of increased CRM₁₉₇ carrier protein dose on meningococcal C bactericidal antibody response

Clin Vaccine Immunol. 2012 Apr;19(4):551-6. doi: 10.1128/CVI.05438-11. Epub 2012 Feb 15.

Abstract

New multivalent CRM(197)-based conjugate vaccines are available for childhood immunization. Clinical studies were reviewed to assess meningococcal group C (MenC) antibody responses following MenC-CRM(197) coadministration with CRM(197)-based pneumococcal or Haemophilus influenzae type b conjugate vaccines. Infants receiving a total CRM(197) carrier protein dose of ∼50 μg and concomitant diphtheria-tetanus-acellular pertussis (DTaP)-containing vaccine tended to have lower MenC geometric mean antibody titers and continued to have low titers after the toddler dose. Nevertheless, at least 95% of children in the reported studies achieved a MenC serum bactericidal antibody (SBA) titer of ≥ 1:8 after the last infant or toddler dose. SBA was measured using an assay with a baby rabbit or human complement source. Additional studies are needed to assess long-term antibody persistence and MenC CRM(197) conjugate vaccine immunogenicity using alternative dosing schedules.

MeSH terms

  • Adjuvants, Immunologic / administration & dosage*
  • Animals
  • Antibodies, Bacterial / blood*
  • Bacterial Proteins / administration & dosage*
  • Blood Bactericidal Activity*
  • Complement System Proteins / immunology
  • Diphtheria-Tetanus-acellular Pertussis Vaccines / administration & dosage
  • Haemophilus Vaccines / administration & dosage
  • Humans
  • Infant
  • Meningococcal Vaccines / immunology*
  • Neisseria meningitidis, Serogroup C / immunology*
  • Rabbits

Substances

  • Adjuvants, Immunologic
  • Antibodies, Bacterial
  • Bacterial Proteins
  • Diphtheria-Tetanus-acellular Pertussis Vaccines
  • Haemophilus Vaccines
  • Meningococcal Vaccines
  • CRM197 (non-toxic variant of diphtheria toxin)
  • Complement System Proteins