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Safety and Immunogenicity of Typhoid Fever and Yellow Fever Vaccines When Administered Concomitantly With Quadrivalent Meningococcal ACWY Glycoconjugate Vaccine in Healthy Adults.
[typhoid]
Compact
and
short
pre-travel
immunization
schedules
,
which
include
several
vaccinations
in
a
single
visit
,
are
desirable
for
many
travelers
.
However
,
concomitant
vaccination
could
potentially
compromise
immunogenicity
and
/
or
safety
of
the
individual
vaccines
and
,
therefore
,
possible
vaccine
interferences
should
be
carefully
assessed
.
This
article
discusses
the
immunogenicity
and
safety
of
travel
vaccines
for
typhoid
fever
(
TF
)
and
yellow
fever
(
YF
)
,
when
administered
with
or
without
a
quadrivalent
meningococcal
glycoconjugate
ACWY-CRM
vaccine
(
MenACWY-CRM
)
.
Healthy
adults
(
18
-
≤
60
 
years
)
were
randomized
to
one
of
three
vaccine
regimens
:
TF
 
+
 
YF
 
+
 
MenACWY-CRM
(
group
I
;
n
 
=
 
100
)
,
TF
 
+
 
YF
(
group
II
;
n
 
=
 
101
)
,
or
MenACWY-CRM
(
group
III
;
n
 
=
 
100
)
.
Immunogenicity
at
baseline
and
4
 
weeks
post-vaccination
(
day
29
)
was
assessed
by
serum
bactericidal
assay
using
human
complement
(
hSBA
)
,
enzyme-linked
immunosorbent
assay
(
ELISA
)
,
or
a
neutralization
test
.
Adverse
events
(
AEs
)
and
serious
adverse
events
(
SAEs
)
were
collected
throughout
the
study
period
.
Non-inferiority
of
post-vaccination
geometric
mean
concentrations
(
GMCs
)
and
geometric
mean
titers
(
GMTs
)
was
established
for
TF
and
YF
vaccines
,
respectively
,
when
given
concomitantly
with
MenACWY-CRM
vaccine
versus
when
given
alone
.
The
percentages
of
subjects
with
seroprotective
neutralizing
titers
against
YF
on
day
29
were
similar
in
groups
I
and
II
.
The
antibody
responses
to
meningococcal
serogroups
A
,
C
,
W-
135
,
and
Y
were
within
the
same
range
when
MenACWY-CRM
was
given
separately
or
together
with
TF
and
YF
vaccines
.
The
percentage
of
subjects
reporting
AEs
was
the
same
for
TF
and
YF
vaccines
with
or
without
MenACWY-CRM
vaccine
.
There
were
no
reports
of
SAEs
or
AEs
leading
to
study
withdrawals
.
These
data
provide
evidence
that
MenACWY-CRM
can
be
administered
with
typhoid
Vi
polysaccharide
vaccine
and
live
attenuated
YF
vaccine
without
compromising
antibody
responses
stimulated
by
the
individual
vaccines
.
MenACWY-CRM
can
,
therefore
,
be
incorporated
into
travelers
'
vaccination
programs
without
necessitating
an
additional
clinic
visit
(
NCT
01466387
)
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated