J Korean Med Sci.  2015 May;30(5):612-616. 10.3346/jkms.2015.30.5.612.

The Immunogenicity and Safety of the Live-attenuated SA 14-14-2 Japanese Encephalitis Vaccine Given with a Two-dose Primary Schedule in Children

Affiliations
  • 1Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea. kjhan@catholic.ac.kr
  • 2Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Pediatrics, Kyunghee University College of Medicine, Seoul, Korea.
  • 4Department of Pediatrics, Chonbuk National University College of Medicine, Jeonju, Korea.

Abstract

Effective and tolerable vaccination is an essential strategy to prevent Japanese encephalitis (JE) in endemic areas. Although the live attenuated SA 14-14-2 JE vaccine (LAJEV) has been widely used since its introduction, the systemic data of LAJEV was very rarely available in Korea. We conducted the open-label, prospective cohort study to assess the immunogenicity and safety of this vaccine. Ninety subjects were enrolled, and LAJEV in a 2-dose primary series was given with a 12-month interval. Neutralizing antibody titers were measured before and after each vaccination, and active monitoring for adverse events was performed. After the first dose, 91.1% of subjects had seroprotection with a geometric mean titer (GMT) of 40.9. Seroprotection rate after the second dose was 97%, and GMT showed an increase of 6.5-fold. Most adverse events following immunization were self-limited, and no serious adverse events were reported until 42 days after each dose. The 2-dose administration of LAJEV in the primary immunization schedule appeared to be highly immunogenic and safe.

Keyword

Live Attenuated Japanese Encephalitis Vaccine; Immunogenicity; Safety; Children; Clinical Trial

MeSH Terms

Antibodies, Neutralizing/analysis/immunology
Antibodies, Viral/analysis/immunology
Antibody Formation
Child, Preschool
Cohort Studies
Encephalitis, Japanese/*prevention & control
Female
Humans
Infant
Japanese Encephalitis Vaccines/*immunology
Male
Prospective Studies
Vaccination
Vaccines, Attenuated/*immunology
Antibodies, Neutralizing
Antibodies, Viral
Japanese Encephalitis Vaccines
Vaccines, Attenuated

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