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Pediatric Combination Vaccines

Clinical Issues

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Abstract

Combination vaccines present a unique clinical research challenge because, while on the one hand they are treated as new vaccine entities, they also face the challenge of replacing existing, proven vaccines. Therefore, they must fulfill all of the criteria for new vaccines in terms of safety and efficacy and in addition must be shown to be as good as the components given separately.

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References

  1. Sabin, A. B. and Boulger, L. R. (1973) History of Sabin attenuated poliovirus oral live vaccine strains. Biol. Stand 1, 115–125.

    Article  Google Scholar 

  2. Stokes J., Weibel, R. E., Villarejos, V. M., Arguedes, G., Bunyak, E. B., and Hilleman, M. R. (1971) Trivalent combined measles-mumps-rubella vaccine. Findings in clinical laboratory studies. JAMA 218, 57–61.

    Article  PubMed  Google Scholar 

  3. Dagan, R., Botujancky, C., Watemberg, N., Arbelli, Y., Belmaker, I., Ethevenaux, C., and Fritzell, B. (1994) Safety and immunogenicity in young infants of Haemophilus b-tetanus protein conjugate vaccine, mixed in the same syringe with diphtheria-tetanus-pertussisenhanced inactivated polio vaccine. Ped. Infant Dis. J. 13, 356–361.

    Article  CAS  Google Scholar 

  4. Halperin, S. A., Langley, J. M., and Eastwood, B. J. (1996) Effect of inactivated poliovirus vaccine on the antibody response to Bordatella pertussis antigens when combined with diphtheria-pertussis-tetanus vaccine. Clin. Infct. Dis. 22, 59–62.

    Article  CAS  Google Scholar 

  5. Ferreccio, C., Clemens, J., Arendano, A. Horwitz, I., Flores, C., Avila, L., Cayazzo, M., Fritzell, B., Cadoz, M., and Levine, M. (1991) The clinical and immunology response of Chilean infants to Haemophilus influenzae type b polysaccharide-tetanus conjugate vaccine coadministered in the same syringe with diphtheria-tetanus toxoids-pertussis vaccine at two, four, and six months of age. Ped. Infant Dis. J. 10, 764–771.

    CAS  Google Scholar 

  6. Clemens, J. D., Ferrecio, C., Levine, M. M. Horwitz, I., Rao, M. R., Edwards, K. M., and Fritzell, B (1992) Impact of Haemophilus influenzae type b polysaccharide-tetanus protein conjugate vaccine on responses to concurrently administered diphtheria-tetanus-pertussis vaccine. JAMA 267, 673–678.

    CAS  Google Scholar 

  7. Paradiso, P. R, Hogerman, D. A., Madore, D. V., Keyserling, H., King, J., Reisinger, K. S., Blatter, M. M., Rotherstien, E., Bernstein, H. H., Pennridge Pediatric Associates, and Hackell, J. (1993) Safety and Immunogenicity of a Combined Diphtheria-tetanus, pertussis and Haemophilus influenzae type b vaccine in young infants. Pediatrics 92, 827–832.

    PubMed  CAS  Google Scholar 

  8. Eskola, J., Olander, R-M., Hovi, T., Litmanen, L., Peltola, S., and Kayhty, H. (1996) Randomised trial of the effect of co-administration with acellular pertusis DTP vaccine on immunogenicity of Haemophilus influenzae type b conjugate vaccine. Lancet 348, 1688–1692.

    Google Scholar 

  9. Pichichero, M. E., Latiolais, T., Bernstein, D. I., Hosbach, P., Christian, E., Vidor, E., Meschievitz, C., and Dacum, R. S. (1997) Vaccine antigen interactions after a combination diphtheria-tetanus toxoid-acellular pertussis/purified capsular polysaccharide of Haemophilus influenzae type b-tetanus toxoid vaccine in two, four, and six month old infants. PIDJ 16, 863–870.

    CAS  Google Scholar 

  10. Black, S. B., Shinefield, H. R., Ray, P., Lewis, E. M., Fireman, B., Hiatt, R., Madore, D. V., and Johnson, C. L. (1993) Safety of combined oligosaccharide conjugate Haemophilus influenzae type b (HbOC) and whole cell diphtheria-tetanus toxoids-pertussis vaccine in infancy. Pediatr. Infect. Dis. J. 12 (12), 981–985.

    Article  PubMed  CAS  Google Scholar 

  11. Halsey, N. A., Blatter, M., Bader, G., Thoms, M. L., Willingham, F. F., O’Donovan, J. C., Pakula, L., Berut, F., Reisinger, K. S., and Meschievitz, C. (1997) Inactivated poliovirus vaccine alone or sequential inactivated and oral poliovirus vaccine in two, four, and six month old infants with combination Haemophilus influenzae type b hepatitis b vaccine. Pediatr. Infect. Dis. J. 16 (7), 675–679.

    Article  PubMed  CAS  Google Scholar 

  12. Pertussis vaccination: use of acellular pertussis vaccines among infants and young children (1997) MMWR 46(RR-7) 1–25.

    Google Scholar 

  13. Poliomyelitis prevention in the United States: introduction of a sequential vaccination schedule of inactivated polio vaccine followed by oral polio vaccine. (1997) MMWR 46(RR-3) 1–25.

    Google Scholar 

  14. Recommendations of the Immunization Practices Advisory Committee (ACIP). Poliomyelitis prevention (1982) MMWR 31 (3), 22–34.

    Google Scholar 

  15. Federal Register Notice,Friday, December 13, 1985, vol. 50, no. 240.

    Google Scholar 

  16. Pappenheimer, A. M. (1984) Diptheria, Bacterial Vaccines. Academic, New York, pp. 1–36.

    Google Scholar 

  17. Hollinger, F. B. (1996) Hepatitis b virus, Fields Virology, 3rd ed. (Fields, B. N., ed.), Lippincott-Raven, Philadelphia, PA, pp. 2739–2807.

    Google Scholar 

  18. Edwards, K. M. and M. D. Decker (1997) Combination vaccines consisting of acellular pertusis vaccines. Pediatr. Infect. Dis. J. 16 (4), S97 — S102.

    PubMed  CAS  Google Scholar 

  19. Anderson, P. (1984) The protective level of serum antibodies to the capsular polysaccharide of Haemophilus influenzae type b (letter). J. Infect. Dis. 149(6), 1034, 1035.

    Google Scholar 

  20. Kayhty, H. Peltola, H., Karanko, V., and Makela, P. H. (1983) The protective level of serum antibodies to the capsular polysaccharide of Haemophilus influenzae type b. J. Infect. Dis. 147(6) 1100.

    Google Scholar 

  21. Blackwelder, W. C. (1982) Proving the Null Hypothesis in clinical trials. Cont. Clin. Trials 3, 345–353.

    Article  CAS  Google Scholar 

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© 1999 Springer Science+Business Media New York

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Paradiso, P.R., Kohberger, R. (1999). Pediatric Combination Vaccines. In: Ellis, R.W. (eds) Combination Vaccines. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-265-4_4

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  • DOI: https://doi.org/10.1007/978-1-59259-265-4_4

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-4802-4

  • Online ISBN: 978-1-59259-265-4

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