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ESPID: ProQuad Vaccine Appears Safe, Well Tolerated, and
Immunogenic in Children
By Ed Susman
GIARDINI NAXOS, SICILY,
ITALY -- April 10, 2003 -- ProQuad, the first vaccine candidate to
protect children against measles, mumps, rubella and varicella
appears safe and well-tolerated and created immunogenic markers
similar to those seen with other vaccines.
"This is first in the
world vaccine aimed at four of the major childhood diseases," said
Jay Lieberman, MD, a researcher at the University of California Los
Angeles Center for Vaccine Research, Torrance, California. "We think
that if we can reduce the number of shots young children have to
take to be protected against these diseases we have the potential to
get our numbers up -- to around 90% vaccinated against chicken pox."
Dr. Lieberman presented
the findings here April 10th in a poster presentation at the 21st
Annual Meeting of the European Society for Paediatric Infectious
Diseases.
Dr. Lieberman, who is
also associate professor of medicine at the University of California
at Irvine, said his study compared the immunogenicity of three
different lots of the vaccine -- a step required by the US Food and
Drug Administration to show that the vaccine can be manufactured
consistently.
The one-shot vaccine was
given to about three-fourths of the 3,928 healthy children between
12 and 23 months of age. The other children were administered one
injection of the MMR-II vaccine, which has been given to children
for decades to protect against measles, mumps and rubella, and a
second injection of Varivax -- a chicken pox vaccine. The shots were
administered to different sites.
Seroconversion of the
children receiving different lots of vaccine were similar and, in
turn, were similar to seroconversion seen in children receiving the
two approved vaccines.
Dr. Lieberman reported
the following data:
--In measles, 97.6% of
children receiving the ProQuad vaccine showed seroconversion
compared to 98.5% of those getting the two vaccines.
--In mumps, 96% of
children receiving ProQuad versus 97.9% of those getting the two
vaccines showed seroconversion.
--In rubella, 98.8% of
the children getting ProQuad and 99.2% of those getting two vaccines
showed seroconversion.
--In varicella 93.5% of
children getting ProQuad and 95% of those getting the double shot
showed seroconversion.
Dr. Lieberman said that
children receiving ProQuad appeared to suffer more fevers in the 6
weeks following the inoculations but he said the figures were
clinically irrelevant (39.1% versus 33.1%, P=0.001).
"There was no difference
between the children getting ProQuad and those getting the two
vaccines in the more important febrile seizure related incidents
[0.3% for both groups]," he pointed out.
The study was supported
by Merck Research Laboratories, developer of the vaccine. He said he
expects that the company is likely to file for approval of the
vaccine "soon" but he said he was not aware of an exact timetable to
do so.
"Doctors are excited
about the idea that they can deliver this vaccine in one shot," Dr.
Lieberman said. "That has the potential to enhance compliance,
especially against chicken pox at an early age."
[Study title:
Tolerability And Immunogenicity Of Three Consistency Lots Of A
Combination Measles, Mumps, Rubella, And Varicella Vaccine
(Proquad). Abstract 230] |