An open-label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults

Kawsar R. Talaat, Ruth A. Karron, Philana H. Liang, Bridget A. Mcmahon, Catherine J. Luke, Bhagvanji Thumar, Grace L. Chen, Ji Young Min, Elaine W. Lamirande, Hong Jin, Kathy L. Coelingh, George W. Kemble, Kanta Subbarao

Research output: Contribution to journalArticle

Abstract

Background Live attenuated influenza vaccines (LAIV) against a variety of strains of pandemic potential are being developed and tested. We describe the results of an open-label phase I trial of a live attenuated H2N2 virus vaccine. Objectives To evaluate the safety, infectivity, and immunogenicity of a live attenuated H2N2 influenza virus vaccine. Participants/methods The A/Ann Arbor/6/60 (H2N2) virus used in this study is the attenuated, cold-adapted, temperature-sensitive strain that provides the genetic backbone of seasonal LAIV (MedImmune). We evaluated the safety, infectivity, and immunogenicity of two doses of 107 TCID50 of this vaccine administered by nasal spray 4weeks apart to normal healthy seronegative adults. Results Twenty-one participants received a first dose of the vaccine; 18 participants received a second dose. No serious adverse events occurred during the trial. The most common adverse events after vaccination were headache and musculoskeletal pain. The vaccine was restricted in replication: 24% and 17% had virus detectable by culture or rRT-PCR after the first and second dose, respectively. Antibody responses to the vaccine were also restricted: 24% of participants developed an antibody response as measured by either hemagglutination-inhibition assay (10%), or ELISA for H2 HA-specific serum IgG (24%) or IgA (16%) after either one or two doses. None of the participants had a neutralizing antibody response. Vaccine-specific IgG-secreting cells as measured by enzyme-linked immunospot increased from a mean of 0·5 to 2·0/106 peripheral blood mononuclear cells (PBMCs); vaccine-specific IgA-secreting cells increased from 0·1 to 0·5/106 PBMCs. Conclusions The live attenuated H2N2 1960 AA ca vaccine demonstrated a safety profile consistent with seasonal trivalent LAIV but was restricted in replication and minimally immunogenic in healthy seronegative adults. Published 2012. This article is a US Government work and is in the public domain in the USA.

Original languageEnglish (US)
Pages (from-to)66-73
Number of pages8
JournalInfluenza and other Respiratory Viruses
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2013

Keywords

  • H2N2
  • Human
  • Influenza
  • Influenza vaccine
  • Live attenuated influenza vaccines
  • Neuraminidase inhibition

ASJC Scopus subject areas

  • Epidemiology
  • Pulmonary and Respiratory Medicine
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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  • Cite this

    Talaat, K. R., Karron, R. A., Liang, P. H., Mcmahon, B. A., Luke, C. J., Thumar, B., Chen, G. L., Min, J. Y., Lamirande, E. W., Jin, H., Coelingh, K. L., Kemble, G. W., & Subbarao, K. (2013). An open-label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults. Influenza and other Respiratory Viruses, 7(1), 66-73. https://doi.org/10.1111/j.1750-2659.2012.00350.x