Abstract
Inactivated hepatitis A vaccines were developed in the 1980s and were introduced during the early 1990s. The Aventis Pasteur (AvP) inactivated hepatitis A virus antigen is used in several different vaccine formulations licensed for adults and children. Presented here are the immunogenicity results compiled from 37 clinical trials performed in 20 different countries between 1991 and 2001 in which these vaccines were administered to adults (16 years of age and over), children (aged 12 months–17 years), and infants (younger than 12 months). The accumulated clinical experience with these hepatitis A virus-containing vaccines demonstrates the excellent immunogenicity of this antigen in a wide range of situations. As with other licensed inactivated hepatitis A vaccines, immunological priming is achieved in virtually all vaccinees after a single-dose primary immunization, and it may be reinforced by a booster vaccination administered 6–36 months after the primary vaccination.
Similar content being viewed by others
References
André FE, d’Hondt E, Delem AD, Safary A (1992) Clinical assessment of the safety and efficacy of an inactivated hepatitis A vaccine—rationale and summary of findings. Vaccine 10 (Suppl 1):160–168
Nalin DR (1995) Vaqta. Drug Fut 20:24–29
Vidor E, Fritzell B, Plotkin, S (1996) Clinical development of a new inactivated hepatitis A vaccine. Infection 24:447–458
Ambrosch F, Wiedermann G, Jonas S, Althaus B, Finkel B, Glück R, Herzog C (1997) Immunogenicity and protectivity of a new liposomal hepatitis A vaccine. Vaccine 15:1209–1213
Feinstone SM, Gust ID (1998) Hepatitis A vaccine. In: Plotkin SA, Orenstein WA (eds) Vaccines. WB Saunders, Philadelphia, pp 650–671
Ambrosch F, Wiedermann G, André FE, Delem AD, Gregor H, Hofmann H, d’Hondt E, Kundi M, Wynen J, Kunz C (1994) Clinical and immunological investigation of a new combined hepatitis A and hepatitis B vaccine. J Med Virol 44:452–456
Overbosh D, Peyron F, Picot N, Varichon JP (2001) Immunogenicity and safety of a combined typhoid fever and hepatitis A vaccine: a comparison of the combined vaccine in a dual-chamber syringe presentation versus the monovalent vaccines. In: Program and abstracts of the 7th International Conference on Travel Medicine. Abstract no. 63
Loebermann M, Kollaritsch H, Chappey O, Chambonneau L, Dumas R, Lafrenz M (2001) Immunogenicity and safety of a combined typhoid fever and hepatitis A vaccine in healthy adults. In: Program and abstracts of the 7th International Conference on Travel Medicine. Abstract no. 64
Van Hoecke C, Lebacq E, Beran J, Prymula R, Collard F (1998) Concomitant vaccination against hepatitis A and typhoid fever. J Trav Med 5:116–120
Piazza M, Safary A, Vegnente A, Soncini R, Pensati P, Sardo M, Orlando R, Tosone G, Picciotto L (1999) Safety and immunogenicity of hepatitis A vaccine in infants: a candidate for inclusion in childhood vaccination programme. Vaccine 17:585–588
Shapiro CN, Letson GW, Kuehn D, Welty TK, Krause D, Lambert S, Margolis HS (1995) Effect of maternal antibody on immunogenicity of hepatitis A vaccine in infants. In: Program and abstracts of the 35th Interscience Conference on Antimicrobial Agents and Chemotherapy. Abstract no. H-61
Lieberman JM, Marcy SM, Partridge J, Ward J (1998) Evaluation of a hepatitis A vaccine in infants: effect of maternal antibodies on the antibody response. In: Program and abstracts of the 36th Infectious Diseases Society of America annual meeting. Abstract no. 76
Troisi CL, Hollinger FB, Krause DS, Pickering LK (1997) Immunization of seronegative infants with hepatitis A vaccine (HAVRIX): a comparative study of two dosing schedules. Vaccine 15:1613–1617
Dagan R, Amir J, Mijalovsky A, Kalmanovitch I, Bar-Yochai A, Thoelen S, Safary A, Ashkenazi S (2000) Immunization against hepatitis A in the first year of life: priming despite the presence of maternal antibody. Ped Infect Dis J 19:1045–1052
Lopez EL, Contrini MM, Xifro M, Del C, Ceccoli SC, Cattaneo MA, Zambrano B, Dumas R, Rouyrre N, Weber F (2002) Hepatitis A vaccination of Argentinean infants: comparison of two vaccination schedules. In: Program and abstracts of the 3rd World Congress of Pediatric Infectious Diseases. Abstract no. 25
Lagos R, Munoz A, Dumas R, Pichon S, Zambrano B, Levine M, Vidor E (2003) Immunological priming of one dose of inactivated hepatitis A vaccine given during the first year of life in presence of maternal antibodies. Vaccine 21:3730–3733
Nalin DR, Kuter BJ, Brown L, Patterson C, Calandra GB, Werzberger A, Shouval D, Ellerbeck EF, Block SL, Bishop RP, Wiens B, Schwartz SW, Lewis JA, Sitrin RD, Provost PJ, Miller WJ, Ryan JL (1993) Worldwide experience with the CR326F-derived inactivated hepatitis A virus vaccine in pediatric and adult populations: an overview. J Hepatol 18 (Suppl 2):51–55
Vidor E, Fanget B, Montagnon B, Flehmig B (1993) Preliminary results of the clinical development of a highly purified inactivated hepatitis A vaccine. In: Spiess H (ed) Immunprophylaxe gegen Hepatitis A. Deutsches Grünes Kreuz, Marburg, pp 115–166
Garin D, Vidor E, Wallon M, Fanget B, Brasseur P, Delolme H, Caron F, Mojon M, Gravey A, Humbert G, Flehmig B, Peyron F (1995) Good immunogenicity of GBM strain inactivated hepatitis A vaccine in healthy male adults. Vaccine 13:220–224
Zanetti A, Pregliasco F, Andreassi A, Pozzi A, Vigano P, Cargnel A, Briantais P, Vidor E (1997) Does immunoglobulin interfere with the immunogenicity to Pasteur Mérieux inactivated hepatitis A vaccine? J Hepatol 26:25–30
Walter EB, Hornick RB, Poland GA, Tucker R, Bland CL, Clements DA, Rhamstine CC, Jacobson RM, Brown L, Gress JO, Harris KE, Wiens BL, Nalin DR (1999) Concurrent administration of inactivated hepatitis A vaccine with immune globulin in healthy adults. Vaccine 17:1468–1473
Leentvaarkuijpers A, Coutinho RA, Brulein V, Safary A (1992) Simultaneous passive and active immunization against hepatitis A. Vaccine 10 (Suppl 1):138–141
Zaaijer HL, Leentvaarkuijpers A, Rotman H, Lelie PN (1993) Hepatitis A antibody titres after infection and immunization—Implications for passive and active immunization. J Med Virol 40:22–27
Wagner G, Lavanchy D, Darioli R, Pecoud A, Brulein V, Safary A, Frei PC (1993) Simultaneous active and passive immunization against hepatitis A studied in a population of travellers. Vaccine 11:1027–1032
Green MS, Cohen D, Lerman Y, Sjogren MH, Binn LN, Zur S, Slepon R, Robin G, Hoke CH, Bancroft WH, Safary A, Danon Y, Wiener M (1993) Depression of the immune response to an inactivated hepatitis A vaccine administered concomitantly with immune globulin. J Infect Dis 168:740–743
Goilav C, Zuckerman JN, Lafrenz M, Vidor E, Lauwers S, Ratheau C, Benichou G, Zuckerman AJ (1995) Immunogenicity and safety of a new inactivated hepatitis A vaccine in a comparative study. J Med Virol 46:287–292
Reuman PD, Kubilis P, Hurni W, Brown L, Nalin D (1997) The effect of age and weight on the response to formalin inactivated, alum-adjuvanted hepatitis A vaccine in healthy adults. Vaccine 15:1157–1161
Goubau P, Vangerven V, Safary A, Delem AD, Knops J, d’Hondt E, André FE, Desmyter J (1992) Effect of virus strain and antigen dose on immunogenicity and reactogenicity of an inactivated hepatitis A vaccine. Vaccine 10 (Suppl 1):114–118
Fisch A, Cadilhac P, Vidor E, Prazuck T, Dublanchet A, Lafaix C (1996) Immunogenicity and safety of a new inactivated hepatitis A vaccine: a clinical trial with comparison of administration route. Vaccine 14:1132–1136
Linglof T, Van Hattum J, Kaplan KM, Corrigan J, Duval I, Jensen E, Kuter B (2001) An open study of subcutaneous administration of inactivated hepatitis A vaccine (Vaqta) in adults: safety, tolerability, and immunogenicity. Vaccine 19:3968–3971
Williams J, Fox-Leyva L, Christensen C, Fisher D, Schlicting E, Snowball M, Negus S, Mayers J, Koller R, Stout R (2000) Hepatitis A vaccine administration: comparison between ject-injector and needle injection. Vaccine 18:1939–1943
Brindle RJ, Morris CA, Berger R, Kurtz JB (1994) Inadequate response to intradermal hepatitis A vaccine. Vaccine 12:483–484
Dumas R, Forrat R, Lang J, Farinelli T, Loutan L (1997) Safety and immunogenicity of a new inactivated hepatitis A vaccine in concurrent administration with a typhoid fever vaccine or a typhoid fever + yellow fever vaccine. Adv Therapy 14:160–167
Beeching N, Clarke P, Kitchin N, Pirmohamed J, Veitch K, Weber F (2003) Comparison of two combined vaccines against typhoid fever and hepatitis A in healthy adults. J Travel Med (in press)
Beran J, Chlibek R, Weber F (2003) A combined dual chamber typhoid/hepatitis A vaccine as a booster dose in hepatitis A primed adults. Vaccine 21:4650–4654
Zuckerman J, Peyron F, Wallon M, Gay F, Delolme H, Briantais P, Vidor E (1997) Comparison of the safety and immunogenicity of two inactivated hepatitis A vaccines. Adv Therapy 14:116–124
Vidor E, Ratheau C, Briantais P, Vuillier D (1998) Comparison of two immunization schedules with an inactivated hepatitis A vaccine (Avaxim). J Travel Med 5:167–172
Lolekha S, Pratuangtham S, Punpanich W, Bowonkiratikachorn P, Chimabutra K, Weber F (2003) Immunogenicity and safety of two doses of a pediatric hepatitis A vaccine in Thai children: comparison of 3 vaccination schedules (0–6, 0–12 or 0–18 Months). J Trop Ped 49:333–339
Hornick R, Tucker R, Kaplan KM, Eves KA, Banerjee D, Jensen E, Kuter B (2001) A randomized study of a flexible booster dosing regimen of Vaqta in adults: safety, tolerability, and immunogenicity. Vaccine 19:4727–4731
Kanra G, Yalcin SS, Kara A, Ozmert E, Yurdakok K (2002) Hepatitis A booster vaccine in children after infant immunization. Ped Infect Dis J 21:727–730
Iwarson S, Lindh M (2002) Excellent booster response 4–6 y after a single primary dose of an inactivated hepatitis A vaccine. Scand J Infect Dis 34:110–111
Kanra G, Yalcin SS, Ceyhan M, Yurdakok K (2000) Clinical trial to evaluate immunogenicity and safety of inactivated hepatitis A vaccination starting at 2-month-old children. Turk J Pediatr 42:105–108
Landry P, Tremblay S, Darioli R, Genton B (2001) Inactivated hepatitis A vaccine booster given ≥24 months after the primary dose. Vaccine 19:399–402
Cederna JB, Klinzman D, Stapleton JT (1999) Hepatitis A virus-specific humoral and cellular immune responses following immunization with a formalin-inactivated hepatitis A vaccine. Vaccine 18:892–898
Zuckerman JN, Kirkpatrick CT, Huang M (1998) Immunogenicity and reactogenicity of Avaxim (160 AU) as compared with Havrix (1440 EL.U) as a booster following primary immunization with Havrix (1440 EL.U) against hepatitis A. J Travel Med 5:18–22
Clarke P, Kitchin N, Souverbie F (2001) A randomised comparison of two inactivated hepatitis A vaccines, Avaxim and Vaqta, given as a booster to subjects primed with Avaxim. Vaccine 19:4429–4433
Bryan JP, Henry CH, Hoffman AG, South-Paul JE, Smith JA, Cruess D, Spieker JM, De Medina M (2000) Randomized, cross-over, controlled comparison of two inactivated hepatitis A vaccines. Vaccine 19:743–750
Herzog C, Angst F, Beck BR, Bovier P, Farinelli T, Glueck R, Hatz C, Loutan L, Steffen R, Zellmeyer M (1997) Boosting healthy travelers with a virosome-formulated hepatitis A vaccine after basic immunization with an alum-adsorbed hepatitis A vaccine. In: Program and abstracts of the 37th Interscience Conference on Antimicrobial Agents and Chemotherapy. Abstract no. 132
Goilav C, Zuckerman J, Lafrenz M, Vidor E, Briantais P, Lauwers S, Ratheau C, Benichou G, Zuckerman A (1997) Persistence of antibodies after inactivated hepatitis A vaccines in a comparative study. J Infect 34:158
Van Herck K, Beutels P, Van Damme P, Beutels M, Van den Dries J, Briantais Ph, Vidor E (2000) Mathematical models for assessment of long-term persistence of antibodies after vaccination with two inactivated hepatitis A vaccines. J Med Virol 60:1–7
Werzberger A, Kuter B, Nalin D (1998) Six years’ follow-up after hepatitis A vaccination. N Engl J Med 338:1160
Maiwald H, Jilg W, Bock HL, Löscher T, Sonnenburg FV (1997) Long-term persistence of anti-HAV antibodies following active immunization with hepatitis A vaccine. Vaccine 15:346–348
Van Damme P, Thoelen S, Cramm M, Degroote K, Safary A, Meheus A (1994) Inactivated hepatitis A vaccine: reactogenicity, immunogenicity, and long-term antibody persistence. J Med Virol 44:446–451
Wiedermann G, Kundi M, Ambrosch F (1998) Estimated persistence of anti-HAV antibodies after single dose and booster hepatitis A vaccination (0–6 schedule). Acta Trop 69:121–125
Van Herck K, Van Damme P (2001) Inactivated hepatitis A vaccine-induced antibodies: follow-up and estimates of long-term persistence. J Med Virol 63:1–7
Wiens BL, Bohidar NR, Pigeon JG, Egan J, Hurni W, Brown L, Kuter BJ, Nalin DR (1996) Duration of protection from clinical hepatitis A disease after vaccination with Vaqta. J Med Virol 49:235–241
Bovier PA, Bock J, Loutan L, Farinelli T, Glueck R, Herzog C (2002) Long-term immunogenicity of an inactivated virosome hepatitis A vaccine. J Med Virol 68:489–493
Ashur Y, Adler R, Rowe M, Shouval D (1999) Comparison of immunogenicity of two hepatitis A vaccines—Vaqta® and Havrix®—in young adults. Vaccine 17:2290–2296
Braconier J, Wennerholm S, Norrby R (1999) Comparative immunogenicity and tolerance of Vaqta® and Havrix®. Vaccine 17:2181–2184
Bovier P, Althaus B, Glueck R, Chippaux A, Loutan L (1999) Tolerance and immunogenicity of the simultaneous administration of virosome hepatitis A and yellow fever vaccines. J Travel Med 6:228–233
Williams J, Bruden D, Cagle H, McMahon B, Negus S, Christensen C, Snowball M, Bulkow L, Fox-Leyva L (2003) Hepatitis A vaccine: immunogenicity following administration of a delayed immunization schedule in infants, children and adults. Vaccine 21:3208–3211
Peetermans J (1992) Production, quality control and characterization of an inactivated hepatitis A vaccine. Vaccine 10 (Suppl 1):99–101
Armstrong ME, Giesa PA, Davide JP, Redner F, Waterbury JA, Rhoad AE, Keys RD, Provost PJ, Lewis JA (1993) Development of the formalin-inactivated hepatitis A vaccine, Vaqta from the live attenuated virus strain CR326F. J Hepatol 18 (Suppl 2):20–26
Gluck R, Mischler R, Brantschen S, Just M, Althaus B, Cryz SJ (1992) Immunopotentiating reconstituted influenza virus virosome vaccine delivery system for immunization against hepatitis A. J Clin Invest 90:2491–2495
Winokur PL, Stapleton JT (1992) Immunoglobulin prophylaxis for hepatitis A. Clin Infect Dis 14:580–586
Vidor E, Xueref C, Blondeau C, Bajard A, Francon A, Goudeau A, Peyron F, Brasseur P, Zuckerman A (1996) Analysis of the antibody response in humans with a new inactivated hepatitis A vaccine. Biologicals 24:235–242
Centers for Disease Control and Prevention (1999) Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 48(RR-12):1–31
Direction générale de la santé. Comité technique des vaccinations (1999) La vaccination contre l’hépatite A. In: Guide des vaccinations pp 99–103
Lopez EL, Del Carmen X, Torrado LE, De Rosa MF, Gomez R, Dumas R, Wood SC, Contrini M (2001) Safety and immunogenicity of a pediatric formulation of inactivated hepatitis A vaccine in Argentinean children. Pediatr Infect Dis J 20:48–52
Dagan R, Greenberg D, Goldenbertg-Gehtman P, Vidor E, Briantais P, Pinsk V, Athias O, Dumas R (1999) Safety and immunogenicity of a new formulation of an inactivated hepatitis A vaccine. Vaccine 17:1919–1925
Chadha MS, Chitambar SD, Shaikh NJ, Arankalle VA (1999) Exposure of Indian children to hepatitis A virus and vaccination age. Indian J Med Res 109:11–15
Castillo de Febres C, Petrola C de, Escalona N de, Estopinan M, Bordones G, Zambrano B, Garcia A, Dumas R (2000) Safety, immunogenicity and antibody persistence of an inactivated hepatitis A vaccine in 4 to 15 year old children. Vaccine 18:656–664
Lee CY, Huang LM, Lee PI, Chiu HH, Dumas R, Milcamps B, Lin W (2000) Immunogenicity and safety of an inactivated hepatitis A vaccine in Taiwanese adults and children. Southeast Asian J Trop Med Public Health 31:29–36
Boutin JP, Buisson Y, Chapuis P, Delolme H, Germanetto P, Lamarque D, Lemardeley P, Lemoal JJ, Merouze F, Vidor E (1996) Evaluation of the safety and immunogenicity of a new inactivated hepatitis A vaccine in the French army. Int Rev Armed Forces Med Serv 69:249–254
Vimolket T, Theamboonlers A, Dumas R, Milcamps B, Forrat R, Poovorawan Y (1998) Immunogenicity and safety of a new inactivated hepatitis A vaccine in Thai young adults. Southeast Asian J Trop Med Public Health 29:779–785
Acknowledgements
The authors would like to thank all of the subjects who agreed to enroll in the clinical trials described here, under the supervision and solicitation of the investigators who performed the studies. In addition, this work would have not been possible without the help of many people within several departments of Aventis Pasteur. All clinical trials included here were conducted in accordance with Good Clinical Practices, the Helsinki declaration, and with local regulations applying to the protection of human subjects involved in medical research.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Vidor, E., Dumas, R., Porteret, V. et al. Aventis Pasteur Vaccines Containing Inactivated Hepatitis A Virus: A Compilation of Immunogenicity Data. Eur J Clin Microbiol Infect Dis 23, 300–309 (2004). https://doi.org/10.1007/s10096-003-1094-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10096-003-1094-0