본문 바로가기
KERD
논문KCI 등재

Phase 4, Post-Marketing Safety Surveillance of the MF59-Adjuvanted Influenza Vaccines FLUAD® and VANTAFLU® in South Korean Subjects Aged ≥65 Years

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류내과학

초록

Backgroud: Influenza vaccination is recommended for adults aged ≥65 years as they are at high risk of significant morbidity and mortality. This open-label, multicenter, post-marketing surveillance study assessed the safety of the MF59-adjuvanted trivalent inactivated subunit influenza vaccine, which is marketed as FLUAD® and VANTAFLU®, in South Korean subjects aged ≥65 years. Materials and Methods: Solicited local and systemic adverse events (AEs) were collected from day 1 to 4 of the study. All unsolicited AEs and serious AEs (SAEs) were recorded from day 1 until study termination (day 29). Results: Of the 770 subjects enrolled (FLUAD®, n = 389; VANTAFLU®, n = 381), 39% overall experienced any solicited AE. Local AEs were reported by 33% of subjects overall; with the most common events being injection-site pain (30%) and tenderness (27%). Systemic AEs were reported by 19% of subjects overall with the most common events being myalgia (11%) and fatigue (8%). Conclusion: These results show that the MF59-adjuvanted influenza vaccine known as FLUAD® or VANTAFLU® had acceptable safety profiles in older adults (aged ≥65 years) in South Korea.

Abstract

Backgroud: Influenza vaccination is recommended for adults aged ≥65 years as they are at high risk of significant morbidity and mortality. This open-label, multicenter, post-marketing surveillance study assessed the safety of the MF59-adjuvanted trivalent inactivated subunit influenza vaccine, which is marketed as FLUAD® and VANTAFLU®, in South Korean subjects aged ≥65 years. Materials and Methods: Solicited local and systemic adverse events (AEs) were collected from day 1 to 4 of the study. All unsolicited AEs and serious AEs (SAEs) were recorded from day 1 until study termination (day 29). Results: Of the 770 subjects enrolled (FLUAD®, n = 389; VANTAFLU®, n = 381), 39% overall experienced any solicited AE. Local AEs were reported by 33% of subjects overall; with the most common events being injection-site pain (30%) and tenderness (27%). Systemic AEs were reported by 19% of subjects overall with the most common events being myalgia (11%) and fatigue (8%). Conclusion: These results show that the MF59-adjuvanted influenza vaccine known as FLUAD® or VANTAFLU® had acceptable safety profiles in older adults (aged ≥65 years) in South Korea.

참고문헌 (28)

  1. "Influenza (Seasonal). Fact sheet 211"[URL]
  2. McElhaney JE, "The unmet need in the elderly: designing new influenza vaccines for older adults", Vaccine, 23(Suppl 1), pp.S10~S25 (2005)
  3. McElhaney JE, "Influenza vaccination in the elderly: seeking new correlates of protection and improved vaccines", Aging Health, 4, pp.603~613 (2008)
  4. Monto AS, "Influenza control in the 21st century: Optimizing protection of older adults", Vaccine, 27, pp.5043~5053 (2009)
  5. Cromer D, "The burden of influenza in England by age and clinical risk group: a statistical analysis to inform vaccine policy", J Infect, 68, pp.363~371 (2014)
  6. Thompson WW, "Mortality associated with influenza and respiratory syncytial virus in the United States", JAMA, 289, pp.179~186 (2003)
  7. Theodore F. Tsai, "Fluad®-MF59®-Adjuvanted Influenza Vaccine in Older Adults", Infection and Chemotherapy, 45(2), pp.159~174 (2013), 대한감염학회
  8. Lambert ND, "Understanding the immune response to seasonal influenza vaccination in older adults: a systems biology approach", Expert Rev Vaccines, 11, pp.985~994 (2012)
  9. Loubet P, "Seasonal influenza vaccination of high-risk adults", Expert Rev Vaccines, 15, pp.1507~1518 (2016)
  10. Nichol KL, "Effectiveness of influenza vaccine in the community-dwelling elderly", N Engl J Med, 357, pp.1373~1381 (2007)
  11. Gavazzi G, "Ageing and infection", Lancet Infect Dis, 2, pp.659~666 (2002)
  12. Gruver AL, "Immunosenescence of ageing", J Pathol, 211, pp.144~156 (2007)
  13. McElhaney JE, "Immunologic correlates of protection and potential role for adjuvants to improve influenza vaccines in older adults", Expert Rev Vaccines, 12, pp.759~766 (2013)
  14. Talbot HK, "Association between obesity and vulnerability and serologic response to influenza vaccination in older adults", Vaccine, 30, pp.3937~3943 (2012)
  15. "FDA approves first seasonal influenza vaccine containing an adjuvant" (2015)[URL]
  16. "US Package Insert" (2017)[URL]
  17. Pellegrini M, "MF59-adjuvanted versus non-adjuvanted influenza vaccines: integrated analysis from a large safety database", Vaccine, 27, pp.6959~6965 (2009)
  18. Podda A, "The adjuvanted influenza vaccines with novel adjuvants: experience with the MF59-adjuvanted vaccine", Vaccine, 19, pp.2673~2680 (2001)
  19. Frey SE, "Comparison of the safety and immunogenicity of an MF59®-adjuvanted with a non-adjuvanted seasonal influenza vaccine in elderly subjects", Vaccine, 32, pp.5027~5034 (2014)
  20. Banzhoff A, "A new MF59-adjuvanted influenza vaccine enhances the immune response in the elderly with chronic diseases: results from an immunogenicity meta-analysis", Gerontology, 49, pp.177~184 (2003)
  21. Puig-Barberà J, "Effectiveness of the MF59-adjuvanted influenza vaccine in preventing emergency admissions for pneumonia in the elderly over 64 years of age", Vaccine, 23, pp.283~289 (2004)
  22. "Standard for re-examination of new drugs, etc. Notice 2010-94"[URL]
  23. De Donato S, "Safety and immunogenicity of MF59-adjuvanted influenza vaccine in the elderly", Vaccine, 17, pp.3094~3101 (1999)
  24. Minutello M, "Safety and immunogenicity of an inactivated subunit influenza virus vaccine combined with MF59 adjuvant emulsion in elderly subjects, immunized for three consecutive influenza seasons", Vaccine, 17, pp.99~104 (1999)
  25. Scheifele DW, "Safety, immunogenicity, and tolerability of three influenza vaccines in older adults: results of a randomized, controlled comparison", Hum Vaccin Immunother, 9, pp.2460~2473 (2013)
  26. Nichol KL, "Influenza vaccination and reduction in hospitalizations for cardiac disease and stroke among the elderly", N Engl J Med, 348, pp.1322~1332 (2003)
  27. Thompson WW, "Influenza-associated hospitalizations in the United States", JAMA, 292, pp.1333~1340 (2004)
  28. 윤재원, "The Korean Influenza National Immunization Program: History and Present Status", Infection and Chemotherapy, 49(4), pp.247~253 (2017), 대한감염학회

관련 논문AI추천

이 간행물의 다른 논문 (9건)