Influenza Vaccine Responses Zhiping Ye, M.D., Ph.D. Division of Viral Products OVRR/CBER/FDA Prepared for Vaccines and Related Biological Products Advisory.

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Influenza Vaccine Responses Zhiping Ye, M.D., Ph.D. Division of Viral Products OVRR/CBER/FDA Prepared for Vaccines and Related Biological Products Advisory Committee 28 February 2012

Inactivated Vaccine Serology Studies l Recent A(H1N1)pdm09, A(H3N2) and B isolates were analyzed by using 5 panels of sera from adults, 5 panels from elderly and 2 panels from pediatric populations receiving seasonal trivalent inactivated vaccine ( formulation). l Sera were analyzed for the presence of antibodies to the HA antigens of recent virus isolates –Hemagglutination inhibition (HI) titers for recent isolates were compared to HI titer of the vaccine virus by HI assay –A subset of sera were tested by micro-neutralization assay 2

Serum panels used for studies: seasonal trivalent vaccine AUSTRALIAA/California/7/2009 (H1N1pdm09) (NYMC X-181) A/Victoria/210/2009 (H3N2) (NYMC X-187) B/Brisbane/60/2008 (Victoria lineage) CHINA EUROPE JAPAN USA ADULTS OLDER ADULTS CHILDREN (12-60 Mon)) ADULTS OLDER ADULTS ADULTS OLDER ADULTS ADULTS OLDER ADULTS CHILDREN (6-24 Mon) ADULTS OLDER ADULTS A/California/7/2009 (H1N1pdm09)-like A/Victoria/210/2009 (H3N2)-like B/Brisbane/60/2008 (Victoria lineage) A/California/7/2009 (H1N1pdm09) (NYMC X-181) A/Victoria/210/2009 (H3N2) (NYMC X-187) B/Brisbane/60/2008 (Victoria lineage) A/California/7/2009 (H1N1pdm09) (NYMC X-179A) A/Victoria/210/2009 (H3N2) (NYMC X-187) B/Brisbane/60/2008 (Victoria lineage)

Antigens for serology: A(H1N1)pdm09 VACCINE VIRUS A/California/7/2009-like REPRESENTATIVE CURRENT VIRUSES A/Cape Town/60/2011 A/Valparaiso/17275/2011 A/Wisconsin/26/2011 cell A/Perth/533/2011 A/St. Petersburg/100/2011 A/Argentina/656/2011 cell A/Florida/27/2011

HI ANTIBODY RESPONSES TO THE A(H1N1)pdm09 COMPONENT (% GMT)–Example: Older Adults Trial No. of Sera Virus strain pre- vacc GMT Post-vacc GMT Post-vacc GMT reduction (%) Older Adults EU 24A/California/7/ A/St. Petersburg/100/ A/Cape Town/60/ A/Valparaiso/ A/Aigentina/656/ Older Adults US 24A/California/7/ A/St. Petersburg/100/ A/Cape Town/60/ A/Valparaiso/ A/Aigentina/656/ Data from CBER

HI ANTIBODY RESPONSES TO THE A(H1N1)pdm09 COMPONENT – SUMMARY OF DATA FROM ALL LABORATORIES relative GMT

Antigens for serology: A(H3N2) VACCINE VIRUS A/Perth/16/2009-like REPRESENTATIVE CURRENT VIRUSES A/Victoria/361/2011 egg; group 3 A/Hunan-Yueyanglou/1320/2011cell; group 3 A/Hunan-Suxian/1319/2011cell; group 3 A/Utah/12/2011cell; group 3 A/Chiang Rai/277/2011cell; group 3 A/Kobe/241/2011cell; group 3 A/Bangladesh/5071/2011cell; group 3 A/South Australia/03/2011cell; group 3 A/Guangdong-Jinping/1334/2011cell; group 6 A/Brisbane/299/2011egg; group 6 A/Christchurch/28/2011 egg; group 6 A/Kentucky/5/2011cell; group 6 A/Victoria/362/2011egg; group 6

HI ANTIBODY RESPONSES TO THE A(H3N2) COMPONENT –Example: Older Adults Trial No. of Sera Virus strain pre- vacc GM T Post-vacc GMT Post-vacc GMT reduction (%) Older Adults China 30A/Victoria/210/ A/Brisbane/299/ A/Christchurch/28/ A/Kentucky/5/ A/Victoria/361/ A/Victoria/362/ All viruses47 Older Adults Australia 20A/Victoria/210/ A/Brisbane/299/ A/Christchurch/28/ A/Kentucky/5/ A/Victoria/361/ A/Victoria/362/ All viruses52 Data from NIBSC

HI ANTIBODY RESPONSES TO THE A(H3N2) COMPONENT – SUMMARY OF DATA FROM ALL LABORATORIES relative GMT

HI ANTIBODY RESPONSES TO THE A(H3N2) COMPONENT –GMT ratio plots Data from NIBSC

Antigens for serology: B VACCINE VIRUS B/Brisbane/60/2008 (Vic-lineage) REPRESENTATIVE CURRENT VIRUSES Vic-lineage B/Dominican Republic/5486/2011 B/Hong Kong/767/2011 B/Nevada/3/2011 B/Shanghai-Chongming/1458/2011 B/Chongqing-Yuzhong/1651/2011 B/Cameroon/11V-12080GVF1/2011 B/Tokyo/91107/2011 Yamagata-lineage B/Wisconsin/1/2010 B/Texas/6/2011 B/Jiangsu-Tianning/1470/2011

HI ANTIBODY RESPONSES TO THE B COMPONENT –Example: Younger Adults Data from CDC PopulationNAntigen Pre GMTPost GMT AUSTRALIA24B/BRISBANE/60/ B/NEVADA/03/ B/DOMINICAN REPUBLIC/5486/ B/CHONGQING-YUZHONG/1651/ B/WISCONSIN/1/ US24B/BRISBANE/60/ B/NEVADA/03/ B/DOMINICAN REPUBLIC/5486/ B/CHONGQING-YUZHONG/1651/ B/WISCONSIN/1/ JAPAN29B/BRISBANE/60/ B/NEVADA/03/ B/DOMINICAN REPUBLIC/5486/ B/CHONGQING-YUZHONG/1651/ B/WISCONSIN/1/

HI ANTIBODY RESPONSES TO THE B COMPONENT - SUMMARY OF DATA FROM ALL LABORATORIES relative GMT

Summary l H1N1pdm09 – Representative recent A(H1N1)pdm09 viruses were covered by vaccine containing A/California/7/2009 l H3N2 – Many representative recent (H3N2) viruses showed significant reductions in GMT when tested with sera from recipients of vaccine containing A/Perth/16/2009-like viruses l B – B/VICTORIA/2/87-lineage Representative recent viruses were well covered by current vaccine (B/Brisbane/60/2008) – B/YAMAGATA/16/88-lineage Representative recent viruses were less well covered by the latest vaccine (B/Florida/4/2006-like viruses, 2008/2009 influenza season)