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Randomized controlled clinical trial of bivalent oral poliovirus vaccine and inactivated poliovirus vaccine in Nigerian children

The Journal of Infectious Diseases Dec 21, 2020

Tagbo RN, Verma H, Mahmud ZM, et al. - Via performing an open-label, two-arm, non-inferiority, multi-center, randomized controlled trial in Nigeria, researchers here investigated the immunogenicity of the new bOPV + IPV immunization schedule and gains in type 2 immunity with addition of a second dose of IPV. The trial was performed in August 2016-March 2017 period, well past the tOPV-bOPV switch in April 2016. They enrolled and randomized 572 infants (aged ≤ 14 days) into two arms: infants in Arm A were administered bOPV at birth, 6 and 10 weeks, bOPV+IPV at week 14 and IPV at week 18 and in Arm B were administered IPV each at 6, 10, 14 weeks and bOPV at 18 weeks of age. Findings from this first trial on the new EPI schedule in a sub-Saharan African country establish excellent immunogenicity against poliovirus types 1 and 3, and substantial/improved immunogenicity against poliovirus type 2 following 1 to 2 doses of IPV respectively.

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