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Randomised controlled trial showed long-term efficacy, immunogenicity and safety of varicella vaccines in Norwegian and Swedish children

Casabona, Giacomo ; Habib, Md Ahsan ; Povey, Michael ; Riise Bergsaker, Marianne A. ; Flodmark, Carl Erik LU ; Espnes, Ketil Arne ; Tøndel, Camilla and Silfverdal, Sven Arne (2022) In Acta Paediatrica, International Journal of Paediatrics 111(2). p.391-400
Abstract

Aim: Several countries, such as Norway and Sweden, have not implemented universal varicella vaccination. We present data for Norway and Sweden that were generated by a paediatric multi-country Phase III study over a 10-year period. This assessed the efficacy, antibody persistence and safety of two varicella vaccines containing the same Oka strain. Methods: This was an observer-blind, controlled trial conducted in 10 European countries. Children aged 12–22 months (n = 5803) were randomised 3:3:1 and vaccinated between 1 September 2005 and 10 May 2006. The two-dose group received two tetravalent measles-mumps-rubella-varicella vaccine doses. The one-dose group received one monovalent varicella vaccine dose after a measles-mumps-rubella... (More)

Aim: Several countries, such as Norway and Sweden, have not implemented universal varicella vaccination. We present data for Norway and Sweden that were generated by a paediatric multi-country Phase III study over a 10-year period. This assessed the efficacy, antibody persistence and safety of two varicella vaccines containing the same Oka strain. Methods: This was an observer-blind, controlled trial conducted in 10 European countries. Children aged 12–22 months (n = 5803) were randomised 3:3:1 and vaccinated between 1 September 2005 and 10 May 2006. The two-dose group received two tetravalent measles-mumps-rubella-varicella vaccine doses. The one-dose group received one monovalent varicella vaccine dose after a measles-mumps-rubella vaccine dose. Control group participants received two measles-mumps-rubella vaccine doses. Main study outcomes were vaccine efficacy against confirmed varicella cases and incidence of adverse events. Results: Vaccine efficacy in the two-dose group was ≥92.1% in both Norwegian and Swedish children compared to 72.3% in Norway and 58.0% in Sweden in the one-dose group. Incidences of adverse events and serious adverse events were similar in the Norwegian and Swedish study populations. Conclusion: Consistent with overall study results, high efficacy against varicella and acceptable safety profiles of the two varicella vaccines were observed in Norwegian and Swedish populations. These findings highlight the benefits of varicella vaccines, particularly when administered as a two-dose schedule.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
efficacy, Norway, safety, Sweden, varicella vaccine
in
Acta Paediatrica, International Journal of Paediatrics
volume
111
issue
2
pages
391 - 400
publisher
Wiley-Blackwell
external identifiers
  • scopus:85117913825
  • pmid:34606114
ISSN
0803-5253
DOI
10.1111/apa.16136
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 GlaxoSmithKline Biologicals S.A. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
id
2873ee9b-228f-4c46-8904-b36b41416080
date added to LUP
2021-11-23 14:15:15
date last changed
2024-06-15 21:22:49
@article{2873ee9b-228f-4c46-8904-b36b41416080,
  abstract     = {{<p>Aim: Several countries, such as Norway and Sweden, have not implemented universal varicella vaccination. We present data for Norway and Sweden that were generated by a paediatric multi-country Phase III study over a 10-year period. This assessed the efficacy, antibody persistence and safety of two varicella vaccines containing the same Oka strain. Methods: This was an observer-blind, controlled trial conducted in 10 European countries. Children aged 12–22 months (n = 5803) were randomised 3:3:1 and vaccinated between 1 September 2005 and 10 May 2006. The two-dose group received two tetravalent measles-mumps-rubella-varicella vaccine doses. The one-dose group received one monovalent varicella vaccine dose after a measles-mumps-rubella vaccine dose. Control group participants received two measles-mumps-rubella vaccine doses. Main study outcomes were vaccine efficacy against confirmed varicella cases and incidence of adverse events. Results: Vaccine efficacy in the two-dose group was ≥92.1% in both Norwegian and Swedish children compared to 72.3% in Norway and 58.0% in Sweden in the one-dose group. Incidences of adverse events and serious adverse events were similar in the Norwegian and Swedish study populations. Conclusion: Consistent with overall study results, high efficacy against varicella and acceptable safety profiles of the two varicella vaccines were observed in Norwegian and Swedish populations. These findings highlight the benefits of varicella vaccines, particularly when administered as a two-dose schedule.</p>}},
  author       = {{Casabona, Giacomo and Habib, Md Ahsan and Povey, Michael and Riise Bergsaker, Marianne A. and Flodmark, Carl Erik and Espnes, Ketil Arne and Tøndel, Camilla and Silfverdal, Sven Arne}},
  issn         = {{0803-5253}},
  keywords     = {{efficacy; Norway; safety; Sweden; varicella vaccine}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{391--400}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{Randomised controlled trial showed long-term efficacy, immunogenicity and safety of varicella vaccines in Norwegian and Swedish children}},
  url          = {{http://dx.doi.org/10.1111/apa.16136}},
  doi          = {{10.1111/apa.16136}},
  volume       = {{111}},
  year         = {{2022}},
}