From the Journals

Pentavalent DTaP-Hb-Hib vaccine is found noninferior to comparator


 

FROM VACCINE

The DTaP, hepatitis B virus, and Haemophilus influenzae type b (Hib) vaccine was found to be noninferior to a similar, commercially available vaccine in infants, according to a study in Vaccine.

A close-up of medical syringe with a vaccine. MarianVejcik/Getty Images

In this phase 3, randomized, single-blind, multicenter, noninferiority study, Sai Krishna Susarla of Human Biologicals Institute, which developed the test vaccine, and colleagues randomized 405 infants aged 6-8 weeks 2:1 to three doses of either the test vaccine or the comparator, Pentavac SD (Serum Institute of India). The percentages of seroconversion for diphtheria, pertussis, hepatitis B, and Hib were 98.44%, 92.61%, 99.22%, and 95.72% for the test vaccine, respectively, and 90.0%, 89.23%, 100%, and 90.77% for the comparator. In keeping with some previous studies, the percentages for tetanus were low at 50.97% with the test vaccine and 30.23% with the comparator. Despite the low seroconversion for tetanus, the test vaccine was determined to be noninferior to the comparator for it and the other four diseases it targets. The safety profile was also found to be comparable.

Although the study’s major limitation is that it was conducted in only one country, “the strength of the study is considered to be good” because “compliance to protocol was good, deviations were minimal, and ... very few subjects were withdrawn,” the researchers wrote.

Some of the researchers were employees of the sponsor, Human Biologicals Institute, which developed the test vaccine. Other researchers had no financial interest in the test vaccine and were unrelated to the sponsor, but did receive research grants for conducting the study at their respective sites.

SOURCE: Susarla SK et al. Vaccine. 2019 Jul 19. doi: 10.1016/j.vaccine.2019.06.067.

Recommended Reading

Recombinant vaccine cut herpes zoster rate in immunocompromised patients
MDedge Family Medicine
Parent education improves pediatric influenza vaccination rates
MDedge Family Medicine
Measles cases have slowed but not stopped
MDedge Family Medicine
Little association found between in utero H1N1 vaccine and 5-year health outcomes
MDedge Family Medicine
New scale could measure vaccine hesitancy in developing countries
MDedge Family Medicine
New oral polio vaccine is noninferior to currently licensed vaccine
MDedge Family Medicine
Adjuvanted influenza vaccine appears safe for at-risk children
MDedge Family Medicine
Adjuvanted flu vaccine performs better than others in young children
MDedge Family Medicine
New measles outbreaks reported in Los Angeles and El Paso
MDedge Family Medicine
PHiD-CV with 4CMenB safe, effective for infants
MDedge Family Medicine