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Five-Year Antibody Persistence And Safety Following a Combined Haemophilus Influenzae Neisseria Meningitidis Tetanus Toxoid Vaccines

The purpose of this article is to investigate whether the number and timing of stressors experienced during pregnancy impacted longterm motor development at...

Authors:
Booy R, Nolan T, Reynolds G, Richmond P, Nissen M, Marshall H, et al.

Authors notes:
Pediatric Infectious Disease Journal. 2015;34(12):1379-1384

Keywords:
Haemophilus influenzae type b, Neisseria meningitidis sero- group C, antibody persistence, toddlers, vaccines

Abstract:
Antibody persistence is evaluated in healthy Australian children four and five years post-vaccination with a single dose of combined Haemophilus influenzae type b - Neisseria meningitidis serogroup C tetanus toxoid conjugate vaccine (Hib-MenC-TT) compared to separately administered Hib-TT and MenC-CRM197 vaccines (Hib+MCC).

The according-to-protocol cohorts for persistence at Years 4 and 5 included 282 and 263 children, respectively.

The percentages of children with rSBA-MenC titers >1:8 at Years 4 and 5 were 12.5% and 19.0%, respectively, in the Hib-MenC group; and 12.3% and 25.0%, in the Hib+MCC group.

All children in each group had anti-PRP concentrations >0.15 μg/ml at Year 5.

Exploratory analyses suggested no potential differences between groups in rSBA-MenC or anti-PRP antibody persistence. No vaccine-related SAEs were reported.

Antibody persistence was similar for Years 4 and 5 after Hib-MenC-TT or Hib+MCC vaccination, with the majority of children retaining anti-PRP antibody concentrations >0.15 μg/ml at both timepoints.

The percentage of children retaining rSBA-MenC titers >1:8 was low (≤25%), suggesting that a MenC booster dose may be warranted before adolescence.