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Influenza Vaccine Responses Zhiping Ye, M.D., Ph.D. Division of Viral Products Prepared for Vaccines and Related Biological Products Advisory Committee 28 February 2007
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Serum panels used for serology AUSTRALIA IAN BARR, PH.D. ADULTS A/NEW CALEDONIA/20/99 (H1N1) WHO, AUSTRALIA ELDERLY A/NEW YORK/55/04 (H3N2) B/MALAYSIA/2506/05 EUROPE JOHN WOOD, PH.D. ADULTS A/NEW CALEDONIA/20/99 (H1N1) NIBSC, ENGLAND ELDERLY A/WISCONSIN/67/05 (H3N2) or A/HIROSHIMA/52/2006 (H3N2) B/MALAYSIA/2506/05 JAPAN TAKATO ODIGARI, PH.D. ADULTS A/NEW CALEDONIA/20/99 (H1N1) NIID, JAPAN ELDERLY A/HIROSHIMA/52/2006 (H3N2) B/MALAYSIA/2506/05 USA STEFAN GRAVENSTEIN, M.D. ADULTS A/NEW CALEDONIA/20/99 (H1N1) EASTERN VIRGINIA ELDERLY A/WISCONSIN/67/05 (H3N2) MEDICAL SCHOOL, PEDIATRIC B/MALAYSIA/2506/05 1
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Antigens for serology (H1N1) VACCINE STRAIN A/New Caledonia/20/99 IVR116 REPRESENTATIVE CURRENT STRAINS l A/England/555/2006 l A/Fukushima/141/2006 l A/Guangxigangbei/322/2006 l A/St. Petersburg/8/2006 l A/Hong Kong/2652/2006* l A/Norway/2289/2006* l A/Solomon Islands/3/2006* * K144E Change Present 2
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HI ANTIBODY RESPONSES TO THE H1N1 ADULT POPULATION (UK) TrialVirus strainPre- vacc % HI>40 Post- vacc % HI>40 % rise pre- vacc GMT Post- vacc GMT Adult EU –W 24A/New Caledonia/20/9921887510190 A/England/555/2006046 636 A/Fukushima/141/06063 5 A/Norway/2289/2006 *(K114E) 06358661 A/Solomon Islands/3/06 *(K114E) 1367639133 A/St. Petersburg/8/0647571690 A/Virginia/1/20061375678122 Adult Australi a 24A/New Caledonia/20/9971962188192 A/England/555/20064671172342 A/Fukushima/141/066379173991 A/Norway/2289/2006 *(K114E) 3358171838 A/Solomon Islands/3/06 *(K114E) 718385291 A/St. Petersburg/8/064271172448 A/Virginia/1/20065488174177 3
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HI ANTIBODY RESPONSES TO THE H1N1 ADULT POPULATION (UK) TrialNo. of Sera Virus strainPre- vacc % HI>40 Post- vacc % HI>40 % rise pre- vacc GMT Post- vacc GMT Adult USA 24A/New Caledonia/20/99711003889273 A/England/555/20063363251340 A/Fukushima/141/065471212458 A/Norway/2289/2006 *(K114E) 2963251432 A/Solomon Islands/3/06 *(K114E) 50832538105 A/St. Petersburg/8/063371382161 A/Virginia/1/200650925035130 Adult Japan 30A/New Caledonia/20/993380271959 A/England/555/2006132717922 A/Fukushima/141/061337171026 A/Norway/2289/2006 *(K114E) 32317716 A/Solomon Islands/3/06 *(K114E) 1053331030 A/St. Petersburg/8/061037209 A/Virginia/1/2006508727 74 4
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A/New Caledonia/20/99 VACCINES SUMMARY TABLE VIRUSES WITH > 50% GMT REDUCTION ( ADULT) 5
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Antigens for serology (H3N2) VACCINE STRAIN A/Wisconsin/67/2005 X161B A/Hiroshima/52/2006 IVR-142 REPRESENTATIVE CURRENT STRAINS l A/Brisbane/9/2006 l A/Hiroshima/33/2005 l A/Norway/2250/2006 l A/Sendai-H/F131/2006 l A/Santiago/7981/2006 l A/Canada/1212/2006* l A/Lyon/1292/2006* *Canada/Nepal Genetic Group 6
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HI ANTIBODY RESPONSES TO THE H3N2 ADULT POPULATION (CDC) TrialNAntigen % Rise Pre- vacc GMT Post- vacc GMT Pre- vacc % HI>40 Post- vacc % HI>40 Australia24A/Wisconsin/67/200571151012596 24A/Brisbane/9/20066715652179 24A/Santiago/7981/200646822838 23A/Canada/1212/2006*481449 23A/Hiroshima/33/200642714822 UK24A/Wisconsin/67/20057991511388 24A/Brisbane/9/200675792483 24A/Santiago/7981/200650618442 24A/Canada/1212/2006 *38614425 24A/Hiroshima/33/200642515433 7
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HI ANTIBODY RESPONSES TO THE H3N2 ADULT POPULATION (CDC) PopulationNAntigen % Rise Pre- vacc GMT Post- vacc GMT Pre- vacc % HI>40 Post- vacc % HI>40 Japan30A/Wisconsin/67/20054022674070 30A/Brisbane/9/20063316393053 30A/Santiago/7981/200613610320 30A/Canada/1212/2006 *23917727 28A/Hiroshima/33/200621610021 USA24A/Wisconsin/67/2005831412033100 24A/Brisbane/9/20067913782188 24A/Santiago/7981/200650723438 24A/Canada/1212/2006 *67519025 24A/Hiroshima/33/200646923433 8
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A/Wisconsin/67/2005-like VACCINES SUMMARY TABLE VIRUSES WITH > 50% GMT REDUCTION ( ADULT) 9
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Antigens for serology (B) VACCINE STRAIN B/Malaysia/2506/2004 ( B/Victora/2/87-HA lineage) REPRESENTATIVE CURRENT STRAINS l B/Bangladesh/5278/2006 l B/Texas/39/2006 l B/Chongqing-Y/131/2006 l B/Madagascar/2866/2006 l B/Michigan/2/2006* l B/Taiwan/79/2006* l B/Florida/4/2006* l B/Egypt/144/2005* * B/Yamagata/16/88-HA lineage 10
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HI ANTIBODY RESPONSES TO B ADULT POPULATION (CDC) NAntigen % Rise Pre- vacc GMT Post- vacc GMT Pre- vacc % HI>40 Post- vacc % HI>40 UK24B/Malaysia/2506/200483869879 24B/Ohio/1/200589111262191 24B/Chongqing/Yz131/2006838641371 19B/Texas/39/200683760967 23B/Florida/4/2006*5812441771 23B/Michigan/2/2006*6310421767 Japan30B/Malaysia/2506/20042320524077 30B/Ohio/1/20052032785780 30B/Chongqing/Yz131/20062717443367 30B/Texas/39/20062319443770 30B/Florida/4/2006*712191733 30B/Michigan/2/2006*711141327 USA24B/Malaysia/2506/200471211473896 23B/Ohio/1/200565221514691 24B/Chongqing/Yz131/200667191273392 22B/Texas/39/200659231134188 24B/Florida/4/2006*38361166388 24B/Michigan/2/2006*46481606792 11
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B/Malaysia/2560/2004 VACCINES SUMMARY TABLE VIRUSES WITH > 50% GMT REDUCTION ( ADULT) 12
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Serologic conclusions Studies with sera collected after immunization with current vaccines show that: l H1 – Recent viruses not well inhibited compared to the current vaccine strain l H3 – Recent viruses not well inhibited compared to the current vaccine strain l B – Recent B/Vic lineage viruses generally well inhibited compared to the current vaccine strain 13
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