ExtractHigh passage Cendehill strain of rubella virus, possessing in vivo and in vitro characteristics of an attenuated virus, was tested for efficacy in 28 seronegative infants, 3 to 23 months old. Thirteen seronegative infants received one subcutaneous injection of 0.5 ml of the vaccine preparation containing 10 3 -7 plaque-forming units (PFU) per ml. Fifteen seronegative infants served as controls for viral spread and were kept in intimate contact with the vaccinees for a period of 6 weeks.All thirteen vaccinees developed high levels of hemagglutination-inhibiting antibodies, from V128 to VaiMs, confirming the immunogenicity of the vaccine. No clinical reactions were observed in the vaccinees. The fifteen contacts remained seronegative, indicating that no viral spread occurred from the vaccinees to the susceptible contacts.The present clinical trial provides evidence that high-passage Cendehill strain presents characteristics of immunogenicity, nonreactogenicity and noncommunicability, making it a prospective candidate for a live attenuated rubella virus vaccine.
SpeculationWhen the results of preliminary immunization trials with the attenuated Cendehill strain of rubella virus are confirmed in larger groups, this strain may meet all the criteria required for a safe and efficient immunizing agent against rubella.