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Short Report

Large-Scale Serologic Testing Program to Assess the Immunogenicity of Inactivated Hepatitis A Vaccine (VAQTA™) in Prefilled Syringes Following Product Recall in Germany

Gundula Jäger, Barbara Kuter, Hartmut Campe, Hassin Lakkis, Hans Nitschko, Michael Watson, Erika Harzer and Florian Schödel

volume 2 | issue 6

november/december 2006
Pages: 233 - 236

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A voluntary recall of VAQTA™ in prefilled syringes was implemented in Europe in late 2001 after the manufacturer noted a slight decrease in the antigen content of a small percentage of the syringes manufactured over a particular time frame. In Germany, a large-scale serologic testing program was implemented. The assay results were conveyed to the subject’s physician, and free vaccine was provided for anyone requesting revaccination. An analysis was performed on a subset of 58,546 vaccine recipients with hepatitis A antibody results. Of the 28,681 persons who received either two 25 units (25U) or two 50 units (50U) doses of VAQTA™, the seropositivity rate (SPR) was 99.5% after receipt of 2 doses, similar to the results in prelicensure clinical trials. The SPR was similar among recipients of lots that had been manufactured over the time frame associated with the recalled lots versus those receiving lots not associated with the recalled lots (25U: 99.7% versus 99,7%; 50U: 98.6% versus 99.6%, respectively). There were less recipients of 25U doses of the affected lots, who had high hepatitis A antibody titers (≥100 mIU/mL), compared to recipients of unaffected lots.

Authors

Gundula Jäger

Max von Pettenkofer-Institut für Hygiene und Medizinische; München, Germany

Barbara Kuter

Merck Research Laboratories; West Point PA, USA

Hartmut Campe

Max von Pettenkofer-Institut für Hygiene und Medizinische; München, Germany

Hassin Lakkis

Merck Research Laboratories; West Point PA, USA

Hans Nitschko

Max von Pettenkofer-Institut für Hygiene und Medizinische; München, Germany

Michael Watson

Aventis Pasteur-MSD; Lyon, France

Erika Harzer

Aventis Pasteur-MSD; Leimen, Germany

Florian Schödel

Merck Research Laboratories; West Point PA, USA



We now provide open access to journal articles published online for one year or more. This article may be downloaded at the following link:
 Download PDF

If the document does not open, please right-click on the link (control-click on a Macintosh) and select the option to save the file to disk.