Skip to main content
Erschienen in: Pediatric Drugs 5/2009

01.10.2009 | Adis Drug Profile

Pneumococcal Polysaccharide Protein D-Conjugate Vaccine (Synflorix™; PHiD-CV)

verfasst von: Jamie D. Croxtall, Gillian M. Keating

Erschienen in: Pediatric Drugs | Ausgabe 5/2009

Einloggen, um Zugang zu erhalten

Abstract

  • ▲ The pneumococcal polysaccharide protein D-conjugate vaccine (PHiD-CV; Synflorix™) contains ten capsular polysaccharide serotypes from the bacterium Streptococcus pneumoniae, eight of which are conjugated to a nonlipidated cell-surface liporotein (protein D) of non-typeable Haemophilus influenzae (NTHi) and two of which are conjugated to either tetanus or diphtheria toxoid.
  • ▲ In a three-dose primary vaccination schedule in infants aged <6 months, PHiD-CV elicited high immune responses against all pneumococcal serotypes contained in the vaccine and was non-inferior to an approved 7-valent pneumococcal conjugate vaccine (7vCRM) for eight of the ten serotypes (five of the seven common to both vaccines). Moreover, functional antibodies were elicited against all vaccine serotypes in an opsonophagocytic activity (OPA) assay.
  • ▲ A fourth booster dose of PHiD-CV during the second year of life elicited an anamnestic response against all ten pneumococcal serotypes, as determined by both antibody concentrations and OPA titers.
  • ▲ There were no clinically relevant changes in the immunogenicity of PHiD-CV when coadministered with meningococcal serogroup C conjugate or pentavalent whole cell pertussis combination vaccines, and polio vaccines using two different primary vaccination schedules.
  • ▲ 11Pn-PD, an 11-valent prototype of PHiD-CV, demonstrated protection against episodes of acute otitis media (AOM) caused by S. pneumoniae and NTHi in infants aged <27 months. The first occurrence of an episode of AOM caused by pneumococcal vaccine serotypes was reduced by 52.6% in 11Pn-PD vaccinees compared with recipients of a control vaccine (primary endpoint).
  • ▲ The tolerability profile of PHiD-CV was generally similar to that of 7vCRM.
Literatur
1.
Zurück zum Zitat Hausdorff W, Bryant J, Kloek C, et al. The contribution of specific pneumococcal serogroups to different disease manifestations: implications for conjugate vaccine formulation and use, part II. Clin Infect Dis 2000; 30(1): 122–40PubMedCrossRef Hausdorff W, Bryant J, Kloek C, et al. The contribution of specific pneumococcal serogroups to different disease manifestations: implications for conjugate vaccine formulation and use, part II. Clin Infect Dis 2000; 30(1): 122–40PubMedCrossRef
2.
Zurück zum Zitat Hausdorff WP, Bryant J, Paradiso PR. Which pneumococcal serogroups cause the most invasive disease: implications for conjugate vaccine formulation and use, part I. Clin Infect Dis 2000 Jan; 30(1): 100–21PubMedCrossRef Hausdorff WP, Bryant J, Paradiso PR. Which pneumococcal serogroups cause the most invasive disease: implications for conjugate vaccine formulation and use, part I. Clin Infect Dis 2000 Jan; 30(1): 100–21PubMedCrossRef
3.
Zurück zum Zitat Foxwell A, Kyd J, Cripps A. Nontypeable Haemophilus influenzae: pathogenesis and prevention. Microbiol Mol Biol Rev 1998; 62(2): 294–308PubMed Foxwell A, Kyd J, Cripps A. Nontypeable Haemophilus influenzae: pathogenesis and prevention. Microbiol Mol Biol Rev 1998; 62(2): 294–308PubMed
5.
Zurück zum Zitat Giebink G. The prevention of pneumococcal disease in children. N Engl J Med 2001; 345(16): 1177–83PubMedCrossRef Giebink G. The prevention of pneumococcal disease in children. N Engl J Med 2001; 345(16): 1177–83PubMedCrossRef
7.
Zurück zum Zitat Cripps AW, Otczyk DC, Kyd JM. Bacterial otitis media: a vaccine preventable disease? Vaccine 2005 Mar 18; 23(17–18): 2304–10PubMedCrossRef Cripps AW, Otczyk DC, Kyd JM. Bacterial otitis media: a vaccine preventable disease? Vaccine 2005 Mar 18; 23(17–18): 2304–10PubMedCrossRef
8.
Zurück zum Zitat Erramouspe J, Heyneman C. Treatment and prevention of otitis media. Ann Pharmacother 2000; 34(12): 1452–68PubMedCrossRef Erramouspe J, Heyneman C. Treatment and prevention of otitis media. Ann Pharmacother 2000; 34(12): 1452–68PubMedCrossRef
10.
Zurück zum Zitat Forsgren A, Riesbeck K, Janson H. Protein D of Haemophilus influenzae: a protective nontypeable H. influenzae antigen and a carrier for pneumococcal conjugate vaccines. Clin Infect Dis 2008 Mar 1; 46(5): 726–31PubMedCrossRef Forsgren A, Riesbeck K, Janson H. Protein D of Haemophilus influenzae: a protective nontypeable H. influenzae antigen and a carrier for pneumococcal conjugate vaccines. Clin Infect Dis 2008 Mar 1; 46(5): 726–31PubMedCrossRef
11.
Zurück zum Zitat Stein K. Thymus-independent and thymus-dependent responses to polysaccharide antigens. J Infect Dis 1992; 165Suppl. 1: S49–52PubMedCrossRef Stein K. Thymus-independent and thymus-dependent responses to polysaccharide antigens. J Infect Dis 1992; 165Suppl. 1: S49–52PubMedCrossRef
12.
Zurück zum Zitat Murphy TF. Respiratory infections caused by non-typeable Haemophilus influenzae. Curr Opin Infect Dis 2003 Apr; 16(2): 129–34PubMedCrossRef Murphy TF. Respiratory infections caused by non-typeable Haemophilus influenzae. Curr Opin Infect Dis 2003 Apr; 16(2): 129–34PubMedCrossRef
13.
Zurück zum Zitat Dhillon S, Keam S. DTaP-IPV/Hib vaccine (Pentacel®). Pediatr Drugs 2008; 10(6): 405–16CrossRef Dhillon S, Keam S. DTaP-IPV/Hib vaccine (Pentacel®). Pediatr Drugs 2008; 10(6): 405–16CrossRef
15.
Zurück zum Zitat Darkes MJ, Plosker GL. Pneumococcal conjugate vaccine (Prevnar; PNCRM7): a review of its use in the prevention of Streptococcus pneumoniae infection. Paediatr Drugs 2002; 4(9): 609–30PubMed Darkes MJ, Plosker GL. Pneumococcal conjugate vaccine (Prevnar; PNCRM7): a review of its use in the prevention of Streptococcus pneumoniae infection. Paediatr Drugs 2002; 4(9): 609–30PubMed
16.
Zurück zum Zitat Whitney C, Farley M, Hadler J, et al. Decline in invasive pneumococcal disease after the introduction of protein-polysaccharide conjugate vaccine. N Engl J Med 2003; 348(18): 1737–46PubMedCrossRef Whitney C, Farley M, Hadler J, et al. Decline in invasive pneumococcal disease after the introduction of protein-polysaccharide conjugate vaccine. N Engl J Med 2003; 348(18): 1737–46PubMedCrossRef
17.
Zurück zum Zitat Feavers I, Knezevic I, Powell M, et al. Challenges in the evaluation and licensing of new pneumococcal vaccines, 7–8 July 2008, Ottawa, Canada. Vaccine 2009; 27(28): 3681–8PubMedCrossRef Feavers I, Knezevic I, Powell M, et al. Challenges in the evaluation and licensing of new pneumococcal vaccines, 7–8 July 2008, Ottawa, Canada. Vaccine 2009; 27(28): 3681–8PubMedCrossRef
19.
Zurück zum Zitat Prymula R, Peeters P, Chrobok V, et al. Pneumococcal capsular polysaccharides conjugated to protein D for prevention of acute otitis media caused by both Streptococcus pneumoniae and non-typable Haemophilus influenzae: a randomised double-blind efficacy study. Lancet 2006 Mar 4; 367(9512): 740–8PubMedCrossRef Prymula R, Peeters P, Chrobok V, et al. Pneumococcal capsular polysaccharides conjugated to protein D for prevention of acute otitis media caused by both Streptococcus pneumoniae and non-typable Haemophilus influenzae: a randomised double-blind efficacy study. Lancet 2006 Mar 4; 367(9512): 740–8PubMedCrossRef
20.
Zurück zum Zitat Toropainen M, Raitolehto A, Henckaerts I, et al. Pneumococcal Haemophilus influenzae protein D conjugate vaccine induces antibodies that inhibit glycerophosphodiester phosphodiesterase activity of protein D. Infect Immun 2008 Oct; 76(10): 4546–53PubMedCrossRef Toropainen M, Raitolehto A, Henckaerts I, et al. Pneumococcal Haemophilus influenzae protein D conjugate vaccine induces antibodies that inhibit glycerophosphodiester phosphodiesterase activity of protein D. Infect Immun 2008 Oct; 76(10): 4546–53PubMedCrossRef
21.
Zurück zum Zitat Nurkka A, Joensuu J, Henckaerts I, et al. Immunogenicity and safety of the eleven valent pneumococcal polysaccharide-protein D conjugate vaccine in infants. Pediatr Infect Dis J 2004 Nov; 23(11): 1008–14PubMedCrossRef Nurkka A, Joensuu J, Henckaerts I, et al. Immunogenicity and safety of the eleven valent pneumococcal polysaccharide-protein D conjugate vaccine in infants. Pediatr Infect Dis J 2004 Nov; 23(11): 1008–14PubMedCrossRef
22.
Zurück zum Zitat Poolman J, Kriz P, Feron C, et al. Pneumococcal serotype 3 otitis media, limited effect of polysaccharide conjugate immunisation and strain characteristics. Vaccine 2009; 27(24): 3213–22PubMedCrossRef Poolman J, Kriz P, Feron C, et al. Pneumococcal serotype 3 otitis media, limited effect of polysaccharide conjugate immunisation and strain characteristics. Vaccine 2009; 27(24): 3213–22PubMedCrossRef
23.
Zurück zum Zitat Schuerman L, Prymula R, Chrobok V, et al. Kinetics of the immune response following pneumococcal PD conjugate vaccination. Vaccine 2007 Mar 1; 25(11): 1953–61PubMedCrossRef Schuerman L, Prymula R, Chrobok V, et al. Kinetics of the immune response following pneumococcal PD conjugate vaccination. Vaccine 2007 Mar 1; 25(11): 1953–61PubMedCrossRef
25.
Zurück zum Zitat Vesikari T, Wysocki J, Chevallier B, et al. Immunogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) compared to the licensed 7vCRM vaccine. Pediatr Infect Dis J 2009 Apr; 28(4): S66–76PubMed Vesikari T, Wysocki J, Chevallier B, et al. Immunogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) compared to the licensed 7vCRM vaccine. Pediatr Infect Dis J 2009 Apr; 28(4): S66–76PubMed
26.
Zurück zum Zitat Wysocki J, Tejedor CC, Grunert D, et al. Immunogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) when coadministered with different Neisseria meningitidis serogroup C conjugate vaccines. Pediatr Infect Dis J 2009 Apr; 28(4): S77–88PubMed Wysocki J, Tejedor CC, Grunert D, et al. Immunogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) when coadministered with different Neisseria meningitidis serogroup C conjugate vaccines. Pediatr Infect Dis J 2009 Apr; 28(4): S77–88PubMed
27.
Zurück zum Zitat Bermal N, Szenborn L, Chrobot A, et al. The 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) coadministered with DTPw-HBV/Hib and poliovirus vaccines: assessment of immunogenicity. Pediat Infect Dis J 2009 Apr; 28(4): S89–96CrossRef Bermal N, Szenborn L, Chrobot A, et al. The 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) coadministered with DTPw-HBV/Hib and poliovirus vaccines: assessment of immunogenicity. Pediat Infect Dis J 2009 Apr; 28(4): S89–96CrossRef
28.
Zurück zum Zitat Knuf M, Szenborn L, Moro M, et al. Immunogenicity of routinely used childhood vaccines when coadministered with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV). Pediat Infect Dis J 2009 Apr; 28(4): S97–108CrossRef Knuf M, Szenborn L, Moro M, et al. Immunogenicity of routinely used childhood vaccines when coadministered with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV). Pediat Infect Dis J 2009 Apr; 28(4): S97–108CrossRef
29.
Zurück zum Zitat Chevallier B, Vesikari T. Safety and reactogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) when coadministered with route childhood vaccines. Ped Infect Dis J 2009 Apr; 28(4): Sl09–18 Chevallier B, Vesikari T. Safety and reactogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) when coadministered with route childhood vaccines. Ped Infect Dis J 2009 Apr; 28(4): Sl09–18
31.
Zurück zum Zitat Henckaerts I, Goldblatt D, Ashton L, et al. Critical differences between pneumococcal polysaccharide enzyme-linked immunosorbent assays with or without 22F inhibition at low antibody concentrations in paediatric sera. Clin Vaccine Immunol 2006; 13(3): 356–60PubMedCrossRef Henckaerts I, Goldblatt D, Ashton L, et al. Critical differences between pneumococcal polysaccharide enzyme-linked immunosorbent assays with or without 22F inhibition at low antibody concentrations in paediatric sera. Clin Vaccine Immunol 2006; 13(3): 356–60PubMedCrossRef
32.
Zurück zum Zitat Schuerman L, Prymula R, Henckaerts I, et al. ELISA IgG concentrations and opsonophagocytic activity following pneumococcal protein D conjugate vaccination and relationship to efficacy against acute otitis media. Vaccine 2007 Mar 1; 25(11): 1962–8PubMedCrossRef Schuerman L, Prymula R, Henckaerts I, et al. ELISA IgG concentrations and opsonophagocytic activity following pneumococcal protein D conjugate vaccination and relationship to efficacy against acute otitis media. Vaccine 2007 Mar 1; 25(11): 1962–8PubMedCrossRef
33.
Zurück zum Zitat Henckaerts I, Durant N, De Grave D, et al. Validation of a routine opsonophagocytosis assay to predict invasive pneumococcal disease efficacy of conjugate vaccine in children. Vaccine 2007; 25(13): 2518–27PubMedCrossRef Henckaerts I, Durant N, De Grave D, et al. Validation of a routine opsonophagocytosis assay to predict invasive pneumococcal disease efficacy of conjugate vaccine in children. Vaccine 2007; 25(13): 2518–27PubMedCrossRef
34.
Zurück zum Zitat Romero-Steiner S, Libutti D, Pais LB, et al. Standardization of an opsonophagocytic assay for the measurement of functional antibody activity against Streptococcus pneumoniae using differentiated HL-60 cells. Clin Diagn Lab Immunol 1997; 4(4): 415–22PubMed Romero-Steiner S, Libutti D, Pais LB, et al. Standardization of an opsonophagocytic assay for the measurement of functional antibody activity against Streptococcus pneumoniae using differentiated HL-60 cells. Clin Diagn Lab Immunol 1997; 4(4): 415–22PubMed
35.
Zurück zum Zitat Hausdorff WP, Beckers F, Dagan R, et al. Estimation of the direct impact of a 10-valent pneumococcal non-typeable Haemophilus influenzae protein D-conjugate vaccine (PHiD-CV) candidate against invasive pneumococcal disease (IPD). 6th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD); 2008 Jun 8–12 June; Reykjavik Hausdorff WP, Beckers F, Dagan R, et al. Estimation of the direct impact of a 10-valent pneumococcal non-typeable Haemophilus influenzae protein D-conjugate vaccine (PHiD-CV) candidate against invasive pneumococcal disease (IPD). 6th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD); 2008 Jun 8–12 June; Reykjavik
Metadaten
Titel
Pneumococcal Polysaccharide Protein D-Conjugate Vaccine (Synflorix™; PHiD-CV)
verfasst von
Jamie D. Croxtall
Gillian M. Keating
Publikationsdatum
01.10.2009
Verlag
Springer International Publishing
Erschienen in
Pediatric Drugs / Ausgabe 5/2009
Print ISSN: 1174-5878
Elektronische ISSN: 1179-2019
DOI
https://doi.org/10.2165/11202760-000000000-00000

Weitere Artikel der Ausgabe 5/2009

Pediatric Drugs 5/2009 Zur Ausgabe

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Erstmanifestation eines Diabetes-Typ-1 bei Kindern: Ein Notfall!

16.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Manifestiert sich ein Typ-1-Diabetes bei Kindern, ist das ein Notfall – ebenso wie eine diabetische Ketoazidose. Die Grundsäulen der Therapie bestehen aus Rehydratation, Insulin und Kaliumgabe. Insulin ist das Medikament der Wahl zur Behandlung der Ketoazidose.

Frühe Hypertonie erhöht späteres kardiovaskuläres Risiko

Wie wichtig es ist, pädiatrische Patienten auf Bluthochdruck zu screenen, zeigt eine kanadische Studie: Hypertone Druckwerte in Kindheit und Jugend steigern das Risiko für spätere kardiovaskuläre Komplikationen.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.