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Persistence of Immunogenicity of a Purified Inactivated Zika Virus Vaccine Candidate in Healthy Adults: 2 Years of Follow-up Compared With Natural Infection.


ABSTRACT:

Background

We report 2-year persistence of immune response to Takeda's prophylactic purified formalin-inactivated whole Zika virus vaccine candidate (TAK-426) compared with that observed after natural infection.

Methods

A randomized, observer-blind, placebo-controlled, dose-selection, phase 1 trial was conducted in 18-49-year-old adults at 9 centers (7 in the United States, 2 in Puerto Rico) from 13 November 2017 to 24 November 2020. Primary objectives were safety, tolerability, and immunogenicity of 3 increasing doses of TAK-426 administered as 2 doses 28 days apart to flavivirus (FV)-naive and FV-primed adults. Here, we report on safety and persistence of immunity up to 2 years after primary vaccination with 10-μg TAK-426, the highest dose, and compare neutralizing antibody responses with those observed after natural infection.

Results

TAK-426 at 10-μg had an acceptable safety profile in FV-naive and FV-primed adults up to 24 months after dose 2. Seropositivity for neutralizing antibodies was 100% at 1 year, and 93.8% and 76.2% at 2 years in FV-naive and FV-primed groups, respectively. TAK-426 responses were comparable in magnitude and kinetics with those elicited by natural Zika virus infection.

Conclusions

These results support the further clinical development of TAK-426 for both FV-naive and FV-primed populations.

Clinical trials registration

NCT03343626.

SUBMITTER: Acosta CJ 

PROVIDER: S-EPMC10226659 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Persistence of Immunogenicity of a Purified Inactivated Zika Virus Vaccine Candidate in Healthy Adults: 2 Years of Follow-up Compared With Natural Infection.

Acosta Camilo J CJ   Diaz Clemente C   Nordio Francesco F   Han Htay-Htay HH   Moss Kelley J KJ   Bohning Kelly K   Kumar Pradeep P   Liu Mengya M   Patel Hetal H   Pacciarini Filippo F   Mwangi Vincent V   Walter Elke E   Powell Tim D TD   El Sahly Hana M HM   Baldwin Whitney R WR   Santangelo Joseph J   Anderson Evan J EJ   Dubin Gary G  

The Journal of infectious diseases 20230501 11


<h4>Background</h4>We report 2-year persistence of immune response to Takeda's prophylactic purified formalin-inactivated whole Zika virus vaccine candidate (TAK-426) compared with that observed after natural infection.<h4>Methods</h4>A randomized, observer-blind, placebo-controlled, dose-selection, phase 1 trial was conducted in 18-49-year-old adults at 9 centers (7 in the United States, 2 in Puerto Rico) from 13 November 2017 to 24 November 2020. Primary objectives were safety, tolerability, a  ...[more]

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