Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique

Detalhes bibliográficos
Autor(a) principal: de Deus, Nilsa
Data de Publicação: 2022
Outros Autores: Ubisse Capitine, Igor Paulo, Loforte Bauhofer, Adilson Fernando, Marques, Selma, Cassocera, Marta, Chissaque, Assucênio, Bero, Diocreciano Matias, Langa, José Paulo, Padama, Fernando Manuel, Jeyaseelan, Visalakshi, Steven Oberste, M., Estivariz, Concepcion F., Verma, Harish, Jani, Ilesh, Mach, Ondrej, Sutter, Roland W.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/147866
Resumo: Funding Information: This work was supported by Rotary International, through a grant from the World Health Organization (grant 2019/889177-2). Publisher Copyright: © The Author(s) 2020.
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spelling Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique1-dropimmunogenicitymonovalent type 2 oral poliovirus vaccine (mOPV2)MozambiqueRZ Other systems of medicineQR355 VirologyImmunology and AllergyInfectious DiseasesVirologySDG 3 - Good Health and Well-beingSDG 9 - Industry, Innovation, and InfrastructureSDG 10 - Reduced InequalitiesFunding Information: This work was supported by Rotary International, through a grant from the World Health Organization (grant 2019/889177-2). Publisher Copyright: © The Author(s) 2020.Background. The monovalent type 2 oral poliovirus vaccine (mOPV2) stockpile is low. One potential strategy to stretch the existing mOPV2 supply is to administer a reduced dose: 1 drop instead of 2. Methods. We conducted a randomized, controlled, open-label, noninferiority trial (10% margin) to compared immunogenicity after administration of 1 versus 2 drops of mOPV2. We enrolled 9–22-month-old infants from Mocuba district of Mozambique. Poliovirus neutralizing antibodies were measured in serum samples collected before and 1 month after mOPV2 administration. Immune response was defined as seroconversion from seronegative (<1:8) at baseline to seropositive (≥1:8) after vaccination or boosting titers by ≥4-fold for those with titers between 1:8 and 1:362 at baseline. The trial was registered at anzctr.org.au (no. ACTRN12619000184178p). Results. We enrolled 378 children, and 262 (69%) completed per-protocol requirements. The immune response of mOPV2 was 53.6% (95% confidence interval, 44.9%–62.1%) and 60.6% (52.2%–68.4%) in 1-drop and 2-drop recipients, respectively. The noninferiority margin of the 10% was not reached (difference, 7.0%; 95% confidence interval, −5.0% to 19.0%). Conclusion. A small loss of immunogenicity of reduced mOPV2 was observed. Although the noninferiority target was not achieved, the Strategic Advisory Group of Experts on Immunization recommended the 1-drop strategy as a dose-sparing measure if mOPV2 supplies deteriorate further.Instituto de Higiene e Medicina Tropical (IHMT)RUNde Deus, NilsaUbisse Capitine, Igor PauloLoforte Bauhofer, Adilson FernandoMarques, SelmaCassocera, MartaChissaque, AssucênioBero, Diocreciano MatiasLanga, José PauloPadama, Fernando ManuelJeyaseelan, VisalakshiSteven Oberste, M.Estivariz, Concepcion F.Verma, HarishJani, IleshMach, OndrejSutter, Roland W.2023-01-19T22:19:26Z2022-07-152022-07-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttp://hdl.handle.net/10362/147866eng0022-1899PURE: 50816858https://doi.org/10.1093/infdis/jiaa704info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:29:07Zoai:run.unl.pt:10362/147866Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:06.921466Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
title Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
spellingShingle Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
de Deus, Nilsa
1-drop
immunogenicity
monovalent type 2 oral poliovirus vaccine (mOPV2)
Mozambique
RZ Other systems of medicine
QR355 Virology
Immunology and Allergy
Infectious Diseases
Virology
SDG 3 - Good Health and Well-being
SDG 9 - Industry, Innovation, and Infrastructure
SDG 10 - Reduced Inequalities
title_short Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
title_full Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
title_fullStr Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
title_full_unstemmed Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
title_sort Immunogenicity of Reduced-Dose Monovalent Type 2 Oral Poliovirus Vaccine in Mocuba, Mozambique
author de Deus, Nilsa
author_facet de Deus, Nilsa
Ubisse Capitine, Igor Paulo
Loforte Bauhofer, Adilson Fernando
Marques, Selma
Cassocera, Marta
Chissaque, Assucênio
Bero, Diocreciano Matias
Langa, José Paulo
Padama, Fernando Manuel
Jeyaseelan, Visalakshi
Steven Oberste, M.
Estivariz, Concepcion F.
Verma, Harish
Jani, Ilesh
Mach, Ondrej
Sutter, Roland W.
author_role author
author2 Ubisse Capitine, Igor Paulo
Loforte Bauhofer, Adilson Fernando
Marques, Selma
Cassocera, Marta
Chissaque, Assucênio
Bero, Diocreciano Matias
Langa, José Paulo
Padama, Fernando Manuel
Jeyaseelan, Visalakshi
Steven Oberste, M.
Estivariz, Concepcion F.
Verma, Harish
Jani, Ilesh
Mach, Ondrej
Sutter, Roland W.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Higiene e Medicina Tropical (IHMT)
RUN
dc.contributor.author.fl_str_mv de Deus, Nilsa
Ubisse Capitine, Igor Paulo
Loforte Bauhofer, Adilson Fernando
Marques, Selma
Cassocera, Marta
Chissaque, Assucênio
Bero, Diocreciano Matias
Langa, José Paulo
Padama, Fernando Manuel
Jeyaseelan, Visalakshi
Steven Oberste, M.
Estivariz, Concepcion F.
Verma, Harish
Jani, Ilesh
Mach, Ondrej
Sutter, Roland W.
dc.subject.por.fl_str_mv 1-drop
immunogenicity
monovalent type 2 oral poliovirus vaccine (mOPV2)
Mozambique
RZ Other systems of medicine
QR355 Virology
Immunology and Allergy
Infectious Diseases
Virology
SDG 3 - Good Health and Well-being
SDG 9 - Industry, Innovation, and Infrastructure
SDG 10 - Reduced Inequalities
topic 1-drop
immunogenicity
monovalent type 2 oral poliovirus vaccine (mOPV2)
Mozambique
RZ Other systems of medicine
QR355 Virology
Immunology and Allergy
Infectious Diseases
Virology
SDG 3 - Good Health and Well-being
SDG 9 - Industry, Innovation, and Infrastructure
SDG 10 - Reduced Inequalities
description Funding Information: This work was supported by Rotary International, through a grant from the World Health Organization (grant 2019/889177-2). Publisher Copyright: © The Author(s) 2020.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-15
2022-07-15T00:00:00Z
2023-01-19T22:19:26Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/147866
url http://hdl.handle.net/10362/147866
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0022-1899
PURE: 50816858
https://doi.org/10.1093/infdis/jiaa704
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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