51. Safety and immunogenicity of a bivalent norovirus vaccine candidate in infants from 6 weeks to 5 months of age: A phase 2, randomized, double-blind trial.
- Author
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Sáez-Llorens X, deAntonio R, López-Medina E, López P, Masuda T, Mendelman PM, Sherwood J, Baehner F, and Borkowski A
- Subjects
- Humans, Infant, Male, Double-Blind Method, Female, Vaccines, Virus-Like Particle immunology, Vaccines, Virus-Like Particle adverse effects, Vaccines, Virus-Like Particle administration & dosage, Colombia, Drug-Related Side Effects and Adverse Reactions epidemiology, Placebos administration & dosage, Caliciviridae Infections prevention & control, Caliciviridae Infections immunology, Norovirus immunology, Norovirus genetics, Antibodies, Viral blood, Gastroenteritis prevention & control, Gastroenteritis virology, Viral Vaccines immunology, Viral Vaccines adverse effects, Viral Vaccines administration & dosage
- Abstract
As infants suffer significant morbidity and mortality due to norovirus-related acute gastroenteritis (AGE), we assessed four formulations of the bivalent virus-like particle (VLP) vaccine candidate (HIL-214) in Panamanian and Colombian infants. 360 infants aged 6 weeks to 5 months were randomly allocated to 8 groups to receive three doses of HIL-214 or two doses of HIL-214 and one dose of placebo (Days 1, 56 and 112), where HIL-214 doses contained 15/15, 15/50, 50/50 or 50/150 μg of GI.1/GII.4c genotype VLPs and 0.5 mg Al(OH)
3 . Solicited injection-site and systemic adverse events (AE) were collected within 7 days after each dose, unsolicited AEs were collected within 28 days after each, and serious AEs throughout the study. Pan-Ig and histoblood group antigen-blocking antibodies (HBGA) were measured on Days 1, 56, 84, and 140. All formulations were well-tolerated causing mainly mild-to-moderate transient solicited AEs, most frequently local pain and irritability/fussiness, but no vaccine-related serious AEs. Two doses of each formulation induced high titers of high avidity Pan-Ig and also HBGA antibodies; a third dose increased titers against both antigens and the avidity of Pan-Ig antibodies against GII.4c but not against GI.1. Two and three doses of HIL-214 were well-tolerated and induced potent immune responses at 4-6 months of age supporting further clinical assessment to protect against norovirus-related AGE.- Published
- 2025
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