Search

Background: The safety, reactogenicity, immunogenicity, and efficacy of the mRNA-1273 coronavirus disease 2019 (Covid-19) vaccine in young children are unknown.Methods: Part 1 of this ongoing phase 2-3 trial was open label for dose selection; part 2 was an observer-blinded, placebo-controlled evaluation of the selected dose. In part 2, we randomly assigned young children (6 months to 5 years of age) in a 3:1 ratio to receive two 25-μg injections of mRNA-1273 or placebo, administered 28 days apart. The primary objectives were to evaluate the safety and reactogenicity of the vaccine and to determine whether the immune response in these children was noninferior to that in young adults (18 to 25 years of age) in a related phase 3 trial. Secondary objectives were to determine the incidences of Covid-19 and severe acute respiratory syndrome coronavirus 2 infection after administration of mRNA-1273 or placebo.Results: On the basis of safety and immunogenicity results in part 1 of the trial, the 25-μg dose was evaluated in part 2. In part 2, 3040 children 2 to 5 years of age and 1762 children 6 to 23 months of age were randomly assigned to receive two 25-μg injections of mRNA-1273; 1008 children 2 to 5 years of age and 593 children 6 to 23 months of age were randomly assigned to receive placebo. The median duration of follow-up after the second injection was 71 days in the 2-to-5-year-old cohort and 68 days in the 6-to-23-month-old cohort. Adverse events were mainly low-grade and transient, and no new safety concerns were identified. At day 57, neutralizing antibody geometric mean concentrations were 1410 (95% confidence interval [CI], 1272 to 1563) among 2-to-5-year-olds and 1781 (95% CI, 1616 to 1962) among 6-to-23-month-olds, as compared with 1391 (95% CI, 1263 to 1531) among young adults, who had received 100-μg injections of mRNA-1273, findings that met the noninferiority criteria for immune responses for both age cohorts. The estimated vaccine efficacy against Covid-19 was 36.8% (95% CI, 12.5 to 54.0) among 2-to-5-year-olds and 50.6% (95% CI, 21.4 to 68.6) among 6-to-23-month-olds, at a time when B.1.1.529 (omicron) was the predominant circulating variant.Conclusions: Two 25-μg doses of the mRNA-1273 vaccine were found to be safe in children 6 months to 5 years of age and elicited immune responses that were noninferior to those in young adults. (Funded by the Biomedical Advanced Research and Development Authority and National Institute of Allergy and Infectious Diseases; KidCOVE ClinicalTrials.gov number, NCT04796896.). [ABSTRACT FROM AUTHOR]

Ternary austenitic model alloys were modified with 0.25?wt.% titanium and irradiated in the Fast Flux Test Reactor (FFTF) at dose rates ranging over more than two orders in magnitude. While lowering of the dose rate strongly increases swelling by shortening the incubation dose, the steady-state swelling rate is not affected by dose rate. Although titanium addition strongly alters the void microstructure, swelling at about 420°C does not change with titanium additions, but the sensitivity to dose rate is preserved. [ABSTRACT FROM AUTHOR]

The changes due to pulsed plasma flow irradiation on the near-surface microstructure and mechanical properties of the high-chromium, ferritic–martensitic steel EK-181 (Fe16Cr12W2VTaB) have been quantified. Irradiation of EK-181 in this manner produces a microstructural gradient near the material surface, with a two dimensional nanostructured cellular surface. The microstructure and mechanical properties of the modified layer are independent of the initial microstructure and phase composition, and are strongly defined solely by parameters of the plasma flow. High thermal stability of the pulsed plasma-modified layer was explicitly demonstrated. [ABSTRACT FROM AUTHOR]