Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
37
pubmed:dateCreated
2010-8-13
pubmed:databankReference
pubmed:abstractText
Shigellosis is a leading cause of diarrhea worldwide prompting vaccine development. The Shigella flexneri Invaplex 50 is a macromolecular complex containing IpaB, IpaC, and LPS, formulated from an aqueous extract of virulent Shigella delivered via nasal administration. Preclinical vaccine testing demonstrated safety, immunogenicity and efficacy. An open-label dose-escalating phase 1 study evaluated a 3-dose (2-week intervals) regimen via nasal pipette delivery. Thirty-two subjects were enrolled into one of four vaccine dose groups (10, 50, 240, or 480 microg). The vaccine was well tolerated with minor short-lived nasal symptoms without evidence of dose effect. Antibody-secreting cell (ASC) responses were elicited at doses > or =50 microg with the highest IgG ASC, Invaplex 50 (100%) and S. flexneri 2a LPS (71%), as well as, serologic responses (43%) occurring with the 240 microg dose. Fecal IgA responses, Invaplex 50 (38.5%) and LPS (30.8%), were observed at doses > or =240 microg. The Invaplex 50 nasal vaccine was safe with encouraging mucosal immune responses. Follow-on studies will optimize dose, delivery mechanism and assess efficacy in a S. flexneri 2a challenge study.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1873-2518
pubmed:author
pubmed:copyrightInfo
Published by Elsevier Ltd.
pubmed:issnType
Electronic
pubmed:day
23
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
6076-85
pubmed:meshHeading
pubmed-meshheading:20619378-Administration, Intranasal, pubmed-meshheading:20619378-Adult, pubmed-meshheading:20619378-Animals, pubmed-meshheading:20619378-Antibody Formation, pubmed-meshheading:20619378-Antibody-Producing Cells, pubmed-meshheading:20619378-Dysentery, Bacillary, pubmed-meshheading:20619378-Female, pubmed-meshheading:20619378-Guinea Pigs, pubmed-meshheading:20619378-Humans, pubmed-meshheading:20619378-Immunity, Mucosal, pubmed-meshheading:20619378-Immunization Schedule, pubmed-meshheading:20619378-Immunoglobulin A, pubmed-meshheading:20619378-Immunoglobulin G, pubmed-meshheading:20619378-Male, pubmed-meshheading:20619378-Mice, pubmed-meshheading:20619378-Mice, Inbred BALB C, pubmed-meshheading:20619378-Shigella Vaccines, pubmed-meshheading:20619378-Shigella flexneri, pubmed-meshheading:20619378-Young Adult
pubmed:year
2010
pubmed:articleTitle
Safety and immunogenicity of a Shigella flexneri 2a Invaplex 50 intranasal vaccine in adult volunteers.
pubmed:affiliation
Naval Medical Research Center, Silver Spring, MD, USA. dtribble@usuhs.mil
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Clinical Trial, Phase I