Abstract
We compared in 12- to 15-month-old American Indian infants the safety and immunogenicity of two licensed Haemophilus influenzae type b (Hib) conjugate vaccines, PRP-OMP (PedvaxHib) and HbOC (HibTITER), administered as booster vaccinations. All infants previously received PRP-OMP for their primary Hib vaccinations at 2 and 4 months of age. The geometric mean Hib antibody concentrations (microgram/ml) measured by radioactive antigen-binding assay for those receiving PRP-OMP (n = 17) or HbOC (n = 18) were 0.593 and 0.449, respectively, before boosting (P not significant) and 7.46 and 29.5 micrograms/ml, respectively, after boosting (P < 0.05). PRP-OMP recipients also had lower geometric mean IgG anti-Hib antibody concentrations than HbOC recipients (7.21 vs 28 micrograms/ml, P = 0.003) and lower bactericidal titers (3.18 vs. 15.4, not significant). We conclude that HbOC vaccine produced a significantly greater booster response than PRP-OMP vaccine when given at 12 to 15 months of age to children primed with two doses of PRP-OMP vaccine at 2 and 4 months of age.
Publication types
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Clinical Trial
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Comparative Study
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Randomized Controlled Trial
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Antibodies, Bacterial / biosynthesis*
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Arizona
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Bacterial Outer Membrane Proteins / administration & dosage
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Bacterial Outer Membrane Proteins / immunology*
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Bacterial Proteins / administration & dosage
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Bacterial Proteins / immunology*
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Haemophilus Infections / prevention & control
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Haemophilus Vaccines / administration & dosage
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Haemophilus Vaccines / immunology*
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Haemophilus influenzae / immunology*
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Humans
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Immunization, Secondary / methods
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Immunoglobulin A / blood
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Immunoglobulin G / blood
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Immunoglobulin M / blood
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Indians, North American*
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Infant
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Polysaccharides, Bacterial / administration & dosage
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Polysaccharides, Bacterial / immunology*
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Vaccines, Conjugate / administration & dosage
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Vaccines, Conjugate / immunology
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Vaccines, Synthetic / administration & dosage
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Vaccines, Synthetic / immunology
Substances
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Antibodies, Bacterial
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Bacterial Outer Membrane Proteins
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Bacterial Proteins
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Haemophilus Vaccines
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Haemophilus influenzae-type b polysaccharide-Neisseria meningitidis outer membrane protein conjugate vaccine
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Immunoglobulin A
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Immunoglobulin G
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Immunoglobulin M
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Polysaccharides, Bacterial
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Vaccines, Conjugate
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Vaccines, Synthetic
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HibTITER protein, Haemophilus influenzae