title: Randomized trial to compare the safety and immunogenicity of CSL Limited's 2009 trivalent inactivated influenza vaccine to an established vaccine in United States children.
abstract: A trivalent inactivated influenza vaccine (CSL's TIV, CSL Limited) was licensed under USA accelerated approval regulations for use in persons≥18 years. We performed a randomized, observer-blind study to assess the safety and immunogenicity of CSL's TIV versus an established US-licensed vaccine in a population≥6 months to <18 years of age. Subjects were stratified as follows: Cohort A (≥6 months to <3 years); Cohort B (≥3 years to <9 years); and Cohort C (≥9 years to <18 years). The subject's age and influenza vaccination history determined the dosing regimen (one or two vaccinations). Subjects received CSL's TIV (n=739) or the established vaccine (n=735) in the autumn of 2009. Serum hemagglutination-inhibition titers were determined pre-vaccination and 30 days after the last vaccination. No febrile seizures or other vaccine-related SAEs were reported. After the first vaccination for Cohorts A and B, respectively, the relative risks of fever were 2.73 and 2.32 times higher for CSL's TIV compared to the established vaccine. Irritability and loss of appetite (for Cohort A) and malaise (for Cohort B) were also significantly higher for CSL's TIV compared to the established vaccine. Post-vaccination geometric mean titers (GMTs) for CSL's TIV versus the established vaccine were 385.49 vs. 382.45 for H1N1; 669.13 vs. 705.61 for H3N2; and 100.65 vs. 93.72 for B. CSL's TIV demonstrated immunological non-inferiority to the established vaccine in all cohorts.
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. Electronic address: rebecca.brady@cchmc.org.
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Brady
authors.affiliation: CSL Limited, Melbourne, VIC, Australia.
authors.forename: Wilson
authors.initials: W
authors.lastname: Hu
authors.affiliation: Harrisburg Family Medical Center, Harrisburg, AR, United States.
authors.forename: Vonda G
authors.initials: VG
authors.lastname: Houchin
authors.affiliation: United Health Services, Binghamton, NY, United States.
authors.forename: Frank S
authors.initials: FS
authors.lastname: Eder
authors.affiliation: Grand Prairie Pediatric & Allergy Clinic, Warr Acres, OK, United States.
authors.forename: Kenneth C
authors.initials: KC
authors.lastname: Jackson
authors.affiliation: CSL Limited, Melbourne, VIC, Australia.
authors.forename: Gunter F
authors.initials: GF
authors.lastname: Hartel
authors.affiliation: CSL Limited, Melbourne, VIC, Australia.
authors.forename: Daphne C
authors.initials: DC
authors.lastname: Sawlwin
authors.affiliation: CSL Limited, Melbourne, VIC, Australia.
authors.forename: Frank R
authors.initials: FR
authors.lastname: Albano
authors.affiliation: CSL Limited, Melbourne, VIC, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Greenberg
mesh_terms: D000293:Adolescent; D000914:Antibodies, Viral / Q000097:blood; D002648:Child; D002675:Child, Preschool; D064420:Drug-Related Side Effects and Adverse Reactions / Q000453:epidemiology / Q000473:pathology; D005260:Female; D006385:Hemagglutination Inhibition Tests; D006801:Humans; D007223:Infant; D007252:Influenza Vaccines / Q000008:administration & dosage / Q000009:adverse effects* / Q000276:immunology*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D014481:United States; D014611:Vaccination / Q000009:adverse effects* / Q000379:methods*; D015164:Vaccines, Inactivated / Q000008:administration & dosage / Q000009:adverse effects / Q000276:immunology
chemical_list: D000914:Antibodies, Viral; D007252:Influenza Vaccines; D015164:Vaccines, Inactivated
keywords: Children; Fever; Safety; Trivalent inactivated influenza vaccine