Immunogenicity and safety of two live-attenuated tetravalent dengue vaccine formulations in healthy Australian adults

Vaccine. 2006 Feb 27;24(9):1238-41. doi: 10.1016/j.vaccine.2005.09.029. Epub 2005 Sep 23.

Abstract

We conducted a Phase 1b study to evaluate the immunogenicity and safety of two live attenuated tetravalent dengue vaccines in healthy adult volunteers. After one injection, all subjects reported systemic reactions consistent with a mild dengue-like syndrome. Seven volunteers developed dengue 3 viraemia after vaccination. All subjects developed a neutralizing antibody response against serotype 3 with partial response against other serotypes. The trial was stopped early (after 10 subjects enrolled) due to formulation issues, which were related to the dengue 3 vaccine component. Managing viral interference and balancing attenuation to produce acceptable tetravalent immunogenicity with minimal reactogenicity may be a recurring problem for future multivalent live vaccines.

Publication types

  • Clinical Trial, Phase I

MeSH terms

  • Adult
  • Antibodies, Viral / blood
  • Australia
  • Dengue / physiopathology
  • Dengue / prevention & control*
  • Dengue Virus / immunology*
  • Humans
  • Male
  • Military Personnel
  • Neutralization Tests
  • Vaccines, Attenuated / administration & dosage
  • Vaccines, Attenuated / adverse effects
  • Vaccines, Attenuated / immunology
  • Viral Vaccines / administration & dosage*
  • Viral Vaccines / adverse effects
  • Viral Vaccines / immunology
  • Viremia

Substances

  • Antibodies, Viral
  • Vaccines, Attenuated
  • Viral Vaccines