A phase IV, multi-centre, randomized clinical trial comparing two pertussis-containing vaccines in pregnant women in England and vaccine responses in their infants.


Journal

BMC medicine
ISSN: 1741-7015
Titre abrégé: BMC Med
Pays: England
ID NLM: 101190723

Informations de publication

Date de publication:
08 06 2021
Historique:
received: 21 01 2021
accepted: 11 05 2021
entrez: 8 6 2021
pubmed: 9 6 2021
medline: 16 10 2021
Statut: epublish

Résumé

Pertussis vaccines containing three or five pertussis antigens are recommended in pregnancy in many countries, but no studies have compared the effect on infants' antigen-specific immunoglobulin G (IgG) concentrations. The aim of this study was to compare anti-pertussis IgG responses following primary immunization in infants of mothers vaccinated with TdaP This multi-centre phase IV randomized clinical trial was conducted in a tertiary referral centre and primary care sites in England. Women were randomized to receive TdaP Following infant primary immunization, there was no difference in the geometric mean concentrations (GMCs) of anti-pertussis toxin, filamentous haemagglutinin or pertactin IgG between infants born to women vaccinated with TdaP Blunting of anti-pertussis toxin IgG response following primary immunization occurs in infants born to women vaccinated with TdaP ClinicalTrials.gov , NCT02145624 , registered 23 May 2014.

Sections du résumé

BACKGROUND
Pertussis vaccines containing three or five pertussis antigens are recommended in pregnancy in many countries, but no studies have compared the effect on infants' antigen-specific immunoglobulin G (IgG) concentrations. The aim of this study was to compare anti-pertussis IgG responses following primary immunization in infants of mothers vaccinated with TdaP
METHODS
This multi-centre phase IV randomized clinical trial was conducted in a tertiary referral centre and primary care sites in England. Women were randomized to receive TdaP
RESULTS
Following infant primary immunization, there was no difference in the geometric mean concentrations (GMCs) of anti-pertussis toxin, filamentous haemagglutinin or pertactin IgG between infants born to women vaccinated with TdaP
CONCLUSION
Blunting of anti-pertussis toxin IgG response following primary immunization occurs in infants born to women vaccinated with TdaP
TRIAL REGISTRATION
ClinicalTrials.gov , NCT02145624 , registered 23 May 2014.

Identifiants

pubmed: 34098951
doi: 10.1186/s12916-021-02005-5
pii: 10.1186/s12916-021-02005-5
pmc: PMC8186138
doi:

Substances chimiques

Antibodies, Bacterial 0
Diphtheria-Tetanus-acellular Pertussis Vaccines 0
Poliovirus Vaccine, Inactivated 0

Banques de données

ClinicalTrials.gov
['NCT02145624']

Types de publication

Clinical Trial, Phase IV Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

138

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Auteurs

Christine Elizabeth Jones (CE)

Paediatric Infectious Diseases Research Group, St George's, University of London, London, UK. c.e.jones@soton.ac.uk.
St George's University Hospitals NHS Foundation Trust, London, UK. c.e.jones@soton.ac.uk.
Faculty of Medicine and Institute for Life Sciences, University of Southampton and NIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Clinical and Experimental Sciences, Room LF102, F Level, South Academic Block, Tremona Road, Southampton, SO16 6YD, UK. c.e.jones@soton.ac.uk.

Anna Calvert (A)

Paediatric Infectious Diseases Research Group, St George's, University of London, London, UK.
St George's University Hospitals NHS Foundation Trust, London, UK.

Jo Southern (J)

Immunisation and Countermeasures, National Infection Service, Public Health England, London, UK.

Mary Matheson (M)

National Infection Service, Public Health England, Porton, Salisbury, UK.

Nick Andrews (N)

Statistics, Modelling and Economics Department, Public Health England, London, UK.

Asma Khalil (A)

St George's University Hospitals NHS Foundation Trust, London, UK.

Hannah Cuthbertson (H)

National Infection Service, Public Health England, Porton, Salisbury, UK.

Bassam Hallis (B)

National Infection Service, Public Health England, Porton, Salisbury, UK.

Anna England (A)

National Infection Service, Public Health England, Porton, Salisbury, UK.

Paul T Heath (PT)

Paediatric Infectious Diseases Research Group, St George's, University of London, London, UK.
St George's University Hospitals NHS Foundation Trust, London, UK.

Elizabeth Miller (E)

Immunisation and Countermeasures, National Infection Service, Public Health England, London, UK.

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