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Safety, immunogenicity and efficacy of modified vaccinia Ankara (MVA) against Dryvax challenge in vaccinia-naïve and vaccinia-immune individuals.

2007 Feb 09

Journal Article

Authors:
Parrino, J.; McCurdy, L.H.; Larkin, B.D.; Gordon, I.J.; Rucker, S.E.; Enama, M.E.; Koup, R.A.; Roederer, M.; Bailer, R.T.; Moodie, Z.; Gu, L.; Yan, L.; Graham, B.S.

Secondary:
Vaccine

Volume:
25

Pagination:
1513-25

Issue:
8

PMID:
17126963

DOI:
10.1016/j.vaccine.2006.10.047

Keywords:
Adolescent; Adult; Antibody Formation; CD8-Positive T-Lymphocytes; Double-Blind Method; Humans; Middle Aged; Smallpox; Smallpox Vaccine; Vaccinia virus

Abstract:
Modified vaccinia Ankara (MVA) was evaluated as an alternative to Dryvax in vaccinia-naïve and vaccinia-immune adult volunteers. Subjects received intramuscular MVA or placebo followed by Dryvax challenge at 3 months. Two or more doses of MVA prior to Dryvax reduced severity of lesion formation, decreased magnitude and duration of viral shedding, and augmented post-Dryvax vaccinia-specific CD8(+) T cell responses and extracellular enveloped virus protein-specific antibody responses. MVA vaccination is safe and immunogenic and improves the safety and immunogenicity of subsequent Dryvax vaccination supporting the potential for using MVA as a vaccine in the general population to improve immunity to orthopoxviruses.

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