Clinical trials of bivalent influenza A/New Jersey/76-A/Victoria/75 vaccines in the elderly

J Infect Dis. 1977 Dec:136 Suppl:S518-25. doi: 10.1093/infdis/136.supplement_3.s518.

Abstract

This placebo-controlled evaluation in elderly persons of inactivated influenza virus vaccines containing 200 or 400 chicke cell-agglutinating units of both A/New Jersey/76 and A/Victoria/75 antigens revealed mild systemic reactions in 7.8% and moderate reactions in 4.9% of vaccinees. These reactions were more common after administration of whole-virus than subvirion vaccines, more frequent in females than males, and more frequent in persons with low initial titers of antibody to A/New Jersey antigen. Local inflammation occurred in 18.7% of vaccinees (predominantly females) and frequently was seen with systemic reactions, but did not correlate with antibody response. Titers of antibody to A/New Jersey antigen were initially high and 99% of vaccinees had titers of greater than 1:20 after vaccination. Titers of antibody to A/Victoria antigen were initially low, and 56% of vaccinees had titers of greater than 1:20 after vaccination. Fourfold or greater increases in titer occurred in about 50% of vaccinees for each virus, most often concomitantly. Antibody responses to subvirion and whole-virus vaccines were similar, and increased responses with higher doses coincided with increased reactogenicity. Later revaccinations because of low titers of A/Victoria antibody produced negligible antibody responses.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aging*
  • Antibodies, Viral / biosynthesis
  • Clinical Trials as Topic
  • Dose-Response Relationship, Immunologic
  • Double-Blind Method
  • England
  • Erythema / etiology
  • Female
  • Fever / etiology
  • Hemagglutination Inhibition Tests
  • Humans
  • Influenza A virus / immunology*
  • Influenza Vaccines / adverse effects
  • Influenza Vaccines / pharmacology*
  • Male
  • Middle Aged
  • New Jersey

Substances

  • Antibodies, Viral
  • Influenza Vaccines