CYD-TDV dengue vaccine: systematic review and meta-analysis of efficacy, immunogenicity and safety

J Comp Eff Res. 2017 Mar;6(2):165-180. doi: 10.2217/cer-2016-0045. Epub 2017 Jan 13.

Abstract

Introduction: Dengue virus (DENV) is a serious global health problem. CYD-TDC (Dengvaxia®) was the first vaccine to gain regulatory approval to try and address this problem.

Aim: Summarize all available evidence on the immunogenicity, efficacy and safety of the CYD-TDV dengue vaccine.

Method: Meta-analysis and systematic review.

Results: The best and worst immunogenicity results were for DENV4 and DENV1, respectively. Vaccine efficacy of 60% was derived from studies with participants aged 2-16 years old, with DENV4 and DENV2 presenting the best and worst results, respectively. Erythema and swelling were more frequent with CYD-TDV. No differences were detected for systemic adverse events.

Conclusion: CYD-TDV showed moderate efficacy in children and adolescents. From the immunogenicity results in adults, we can expect satisfactory efficacy from vaccination in this population.

Keywords: CYD-TDV; dengue; meta-analysis; systematic review; vaccines.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Adaptive Immunity / immunology
  • Adolescent
  • Child
  • Child, Preschool
  • Dengue / immunology
  • Dengue / prevention & control*
  • Dengue Vaccines*
  • Female
  • Humans
  • Immunogenicity, Vaccine
  • Male
  • Patient Safety
  • Treatment Outcome

Substances

  • CYD-TDV vaccine
  • Dengue Vaccines