2009
DOI: 10.1016/j.vaccine.2009.01.040
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Single dose vaccination with AS03-adjuvanted H5N1 vaccines in a randomized trial induces strong and broad immune responsiveness to booster vaccination in adults

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Cited by 111 publications
(83 citation statements)
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References 23 publications
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“…This suggests the existence of some level of immunological priming of the population for the A/H1N1/2009 strain, despite the fact that it is antigenically and genetically distinct from recently circulating influenza virus A H1N1 strains (13,15). This is supported by the observation that, prior to vaccination, 32% to 45% of our Belgian study participants and 48% to 78% of adults in another study in the United States (29) had baseline detectable antibodies against the A/H1N1/2009 strain, while only 0.7% to 3% of subjects in H5N1 vaccine studies had baseline detectable antibodies against H5N1 strains (3,22,33,36). As subjects with a medical history suggestive of influenza in the 6 months prior to the study were excluded, preexisting antibodies are unlikely to be due to prior infection with A/H1N1/2009, although there may have been some asymptomatic cases.…”
Section: Discussionsupporting
confidence: 70%
“…This suggests the existence of some level of immunological priming of the population for the A/H1N1/2009 strain, despite the fact that it is antigenically and genetically distinct from recently circulating influenza virus A H1N1 strains (13,15). This is supported by the observation that, prior to vaccination, 32% to 45% of our Belgian study participants and 48% to 78% of adults in another study in the United States (29) had baseline detectable antibodies against the A/H1N1/2009 strain, while only 0.7% to 3% of subjects in H5N1 vaccine studies had baseline detectable antibodies against H5N1 strains (3,22,33,36). As subjects with a medical history suggestive of influenza in the 6 months prior to the study were excluded, preexisting antibodies are unlikely to be due to prior infection with A/H1N1/2009, although there may have been some asymptomatic cases.…”
Section: Discussionsupporting
confidence: 70%
“…By enhancing vaccine immunogenicity, adjuvants may allow for dose-sparing in vaccines, driving comparable immune responses with smaller amounts of antigen. Dose sparing is a critical consideration when urgent large-scale vaccination is needed and vaccine production is limited (5)(6)(7). Similarly, use of adjuvants may reduce the number of vaccinations required for any given vaccine, easing compliance issues and, in much of the world, logistical challenges.…”
mentioning
confidence: 99%
“…HA-based vaccines have been shown to elicit higher titers of neutralizing antibodies to prevent influenza virus infection in tested animals (15)(16)(17)(18), as well as human clinical trials (19)(20)(21)(22). The HA1 antigenic domain of HA has been demonstrated to induce an immune response equal to that of the full-size protein (23).…”
Section: Discussionmentioning
confidence: 99%