Skip to main content

Table 3 Comparison of immunogenicity results after intradermal or intramuscular vaccination

From: Intradermal influenza vaccination of healthy adults using a new microinjection system: a 3-year randomised controlled safety and immunogenicity trial

Vaccine received in Year 1

 

3 μg ID

6 μg ID

15 μg IM

3 μg ID

6 μg ID

15 μg IM

3 μg ID

6 μg ID

15 μg IM

 

European Medicines Evaluation Agency criteria

A/H1N1

A/H3N2

B

Geometric mean titre (95% CI)

-

93.6 (78.5;112)

110 (90.5;133)

206 (177;239)

132 (117;149)

156 (137;178)

300 (266;337)

19.2 (17.1;21.5)

21.7 (19.3;24.5)

40.8 (36.1;46.2)

Seroprotection rate*, % (95% CI)

>70

72.7 (67.9;77.1)

71.3 (66.5;75.8)

87.1 (83.3;90.3)

88.5 (84.9;91.5)

88.2 (84.5;91.3)

96.9 (94.6;98.4)

28.5 (23.9;33.3)

32.9 (28.1;37.9)

55.7 (50.5;60.8)

Seroconversion/significant increase rate, % (95% CI)

>40

53.1 (48.0;58.2)

55.1 (50.0;60.1)

75.0 (70.3;79.3)

35.4 (30.6;40.4)

43.0 (38.0;48.2)

63.8 (58.7;68.6)

21.0 (17.0;25.5)

27.3 (22.8;32.1)

47.7 (42.6;52.9)

Geometric mean titre ratio (post-/pre-vaccination) (95% CI)

2.5

7.32 (6.16;8.7)

8.38 (6.94;10.1)

17.4 (14.7;20.5)

3.48 (3.02;4.01)

4.19 (3.58;4.90)

9.11 (7.71;10.8)

2.38 (2.13;2.67)

2.73 (2.42;3.07)

4.97 (4.37;5.67)

Vaccine received in Year 2

 

9 μg ID

15 μg IM

9 μg ID

15 μg IM

9 μg ID

15 μg IM

Geometric mean titre (95% CI)

-

180 (161; 202)

192 (174; 212)

380 (343; 420)

386 (355; 420)

80.6 (71.6; 90.7)

83.1 (74.8; 92.3)

Seroprotection rate*, % (95% CI)

>70

90.0 (87.1; 92.4)

93.4 (90.0; 95.3)

97.2 (95.4; 98.4)

99.4 (98.4; 99.9)

73.0 (69.1; 76.8)

74.4 (70.5; 78.0)

Seroconversion/significant increase rate, % (95% CI)

>40

43.0 (38.8; 47.3)

45.7 (41.4; 50.0)

53.1 (48.8; 57.4)

50.8 (46.5; 55.1)

63.4 (59.2; 67.5)

66.6 (62.5; 70.6)

Geometric mean titre ratio (post-/pre-vaccination) (95% CI)

2.5

4.3 (3.8; 4.8)

4.7 (4.2; 5.3)

4.4 (4.0; 5.0)

4.4 (3.9; 5.0)

7.8 (7.0; 8.8)

8.3 (7.5; 9.1)

Vaccine received in Year 3

 

9 μgID

15 μgIM

9 μgID

15 μgIM

9 μgID

15 μgIM

Geometric mean titre (95% CI)

-

127 (103; 158)

117.8 (92.7; 149.6)

415 (337; 510)

300 (242; 373)

91.0 (74.5; 111.1)

86.2 (68.4; 108.7)

Seroprotection rate*, % (95% CI)

>70

90.7 (83.6; 95.5)

91.3 (84.2; 96.0)

100 (96.6; 100)

99.0 (94.8; 100.0)

83.3 (74.9; 89.8)

81.4 (72.4; 88.4)

Seroconversion/significant increase rate, % (95% CI)

>40

14.8 (8.7; 22.9)

18.3 (11.4; 27.1)

60.2 (50.3; 69.5)

45.2 (35.4; 55.3)

24.1 (16.4; 33.3)

19.6 (12.4; 28.6)

Geometric mean titre ratio (post-/pre-vaccination) (95% CI)

2.5

2.0 (1.7; 2.4)

2.1 (1.7; 2.5)

4.6 (3.8; 5.6)

3.5 (2.8; 4.4)

2.3 (1.9; 2.7)

2.3 (1.9; 2.8)

  1. CI, confidence interval; ID, intradermal; IM, intramuscular.
  2. *Defined as antibody titre ≥ 40; for subjects with a titre <10 on day 0, defined as a post-injection titre ≥ 40; for subjects with a titre ≥ 10 on day 0, defined as a ≥ 4-fold increase in titres. Data are from the other immunogenicity (OI) population.