Immunogenicity and safety of inactivated TZ84- vs. HM175-based hepatitis A vaccines in pediatric populations: A systematic review and meta-analysis.
Ritabrata Kundu, Apurba Ghosh, Archana Toppo et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the immunogenicity and safety of TZ84- vs. HM175-based hepatitis A vaccines in children and adolescents. Analyzing data from four randomized cohorts with 3,282 participants, the study found that TZ84-based vaccines had significantly higher seroconversion rates (OR: 3.05) and geometric mean concentrations (SMD: 0.88) compared to HM175-based vaccines, with similar safety profiles.
Key findings
- TZ84-based vaccines showed higher seroconversion rates at 1 month (OR: 3.05) compared to HM175-based vaccines.
- Geometric mean concentrations at 7 months were significantly higher for TZ84-based vaccines (SMD: 0.88).
- Long-term follow-up indicated greater antibody persistence for TZ84-based vaccines, lasting up to 186 months.
- Adverse events were comparable between both vaccine types (RR: 0.95).
Why it matters
Understanding the differences in immunogenicity and safety between hepatitis A vaccines is crucial for pediatric vaccination strategies. Higher antibody responses and persistence with TZ84-based vaccines may enhance long-term protection in children and adolescents.
What to keep in mind
The evidence is limited by a small number of unique randomized cohorts and geographic concentration in China.