Evidence map›Paper›PMID 18534242›Full record

Trial reportThe Journal of pediatrics2008

Poor immune responses to a birth dose of diphtheria, tetanus, and acellular pertussis vaccine.

Natasha B Halasa, Alice O'Shea, Jian R Shi, Bonnie J LaFleur, Kathryn M Edwards

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Innovations in Career Development Through Mentoring in the VTEU/IDCRC Programs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  6. Article
  7. Improving Tdap maternal immunization rate in Saudi Arabia.Human vaccines & immunotherapeutics · 2023
    Article
  8. Review
  9. Early-life microbiota-immune homeostasis.Frontiers in immunology · 2023
    Review
  10. Review
  11. Article
  12. Neonatal vaccine effectiveness and the role of adjuvants.Expert review of clinical immunology · 2019
    Review
  13. Review
  14. Review
  15. Article
  16. Vaccine responses in newborns.Seminars in immunopathology · 2017
    Review
  17. Review
  18. Pertussis vaccination in pregnancy.Human vaccines & immunotherapeutics · 2016
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Natasha B HalasaDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University School of Medicine, Nashville, TN, USA.
Alice O'Shea
Jian R Shi
Bonnie J LaFleur
Kathryn M Edwards
Vanderbilt University · USUniversity of Utah · US

Funding

YOHIMBINE AS A MODEL OF ORTHOSTATIC INTOLERANCEM01RR000095 · NCRR · VANDERBILT UNIVERSITY · PI DRAKE, WONDER P. · 1985 to 2008
$38.3M
Vanderbilt Mentored Clinical Research Scholar ProgramK12RR017697 · NCRR · VANDERBILT UNIVERSITY · PI BROWN, NANCY JOAN · 2002 to 2006
$4.7M
Neonatal Immunization with Acellular Pertussis VaccinesK23AI064246 · NIAID · VANDERBILT UNIVERSITY · PI HALASA, NATASHA BASSAM · 2005 to 2007
$372k
EVALUATION OF CONTROL MEASURES AGAINST DISEASES OTHER THAN AIDS-266025462N01AI025462 · NIAID · DIVISION OF PEDIATRIC INFECTIO · PI EDWARDS, KATHRYN MARGARET · 2003 to 2006
–
NCRR NIH HHS K12 RR-017697NCRR NIH HHS K12 RR017697NCRR NIH HHS M01 RR000095NCRR NIH HHS M01 RR-00095NIAID NIH HHS 1K23AI064246-01NIAID NIH HHS K23 AI064246NIAID NIH HHS N01 AI025462
6 · The paper itself

Abstract

objectivesTo evaluate the safety and immunogenicity of an additional birth dose of diphtheria, tetanus, and acellular pertussis vaccine (DTaP). STUDY

designFifty infants between 2 to 14 days of age were randomly assigned to receive either DTaP and hepatitis B vaccines (experimental) or hepatitis B alone (control) at birth. At 2, 4, 6, and 17 months of age, DTaP and routine vaccines were administered to both groups. Safety data were collected after each dose, and sera were obtained at birth, 6, 7, 17, and 18 months. Immune responses to pertussis toxin, filamentous hemagglutinin, pertactin, and fimbriae were measured by enzyme-linked immunosorbent assay; responses to other vaccines were assessed.

resultsNo differences were seen between the 2 groups in either local or systemic reactions; all vaccines were well tolerated. Compared with the control group, infants in the experimental group demonstrated significantly lower geometric mean antibody concentrations for pertussis toxin and pertactin 6, 7, and 18 months, for fimbrae at 6, 7, 17, and 18 months, and for FHA at 18 months, and lower geometric mean antibody concentrations for diphtheria at 7 months. Immune responses to all other vaccine antigens were comparable.

conclusionAdministration of an additional dose of DTaP at birth was safe but was associated with a significantly lower response to diphtheria and 3 of 4 pertussis antigens compared with controls.

Indexed as

DiphtheriaDiphtheria-Tetanus-Pertussis VaccineDose-Response Relationship, DrugEnzyme-Linked Immunosorbent AssayFemaleFollow-Up StudiesHaemophilus InfectionsHaemophilus VaccinesHumansImmunityInfantInfant, NewbornMalePilot ProjectsPrognosisProspective StudiesDiphtheria-Tetanus-Pertussis VaccineHaemophilus influenza type b polysaccharide vaccine-tetanus toxin conjugateHaemophilus VaccinesTetanus ToxoidVaccines, Conjugate

Identifiers

PMID18534242
PMCPMC3773719
OpenAlexW2050340704

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.