Safety, Immunogenicity and Dose Ranging of a New Vi-CRM197 Conjugate Vaccine against Typhoid Fever: Randomized Clinical Testing in Healthy Adults
2011

Safety and Effectiveness of a New Typhoid Vaccine

Sample size: 138 publication 10 minutes Evidence: moderate

Author Information

Author(s): van Damme Pierre, Kafeja Froukje, Anemona Alessandra, Basile Venere, Hilbert Anne Katrin, De Coster Ilse, Rondini Simona, Micoli Francesca, Qasim Khan Rana M., Marchetti Elisa, Di Cioccio Vito, Saul Allan, Martin Laura B., Podda Audino

Primary Institution: Center for the Evaluation of Vaccination, Vaccine & Infectious Disease Institute, University of Antwerp

Hypothesis

The Vi-CRM197 conjugate vaccine will be safe and immunogenic in healthy adults.

Conclusion

The Vi-CRM197 vaccine is safe, well-tolerated, and highly immunogenic, making it suitable for further testing in endemic populations.

Supporting Evidence

  • Vi-CRM197 induced higher antibody levels compared to the licensed control vaccine.
  • All vaccines were well tolerated with mild to moderate local pain being the most common reaction.
  • At least 95% of subjects vaccinated with Vi-CRM197 achieved seroconversion.

Takeaway

A new vaccine for typhoid fever was tested and found to be safe and effective, which is good news for protecting people, especially children, in areas where typhoid is common.

Methodology

The study involved randomized controlled trials comparing the new vaccine with a licensed polysaccharide vaccine in healthy adults aged 18 to 40.

Potential Biases

Potential bias in self-reported adverse events and the exclusion of certain demographics from the study.

Limitations

The study was conducted only in European adults, which may not reflect the vaccine's effectiveness in other populations.

Participant Demographics

Healthy adults aged 18 to 40, predominantly Caucasian, with a mean age of approximately 23 years.

Digital Object Identifier (DOI)

10.1371/journal.pone.0025398

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