Evidence map›Paper›PMID 18579693›Full record

Trial reportClinical and vaccine immunology : CVI2008

Randomized clinical trial assessing the safety and immunogenicity of oral microencapsulated enterotoxigenic Escherichia coli surface antigen 6 with or without heat-labile enterotoxin with mutation R192G.

Joyce A Lapa, Stephanie A Sincock, Madhumita Ananthakrishnan, Chad K Porter, Frederick J Cassels, Carl Brinkley, Eric R Hall, John van Hamont, Joseph D Gramling, Colleen M Carpenter and 2 more

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and vaccine immunology : CVI, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Vaccines for preventing enterotoxigenic Escherichia coli (ETEC) diarrhoea.The Cochrane database of systematic reviews · 2013
    Pooled it
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  9. Review
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  12. Immunology of gut mucosal vaccines.Immunological reviews · 2011
    Review
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  19. A CssA, CssB and LTB chimeric protein induces protection against Enterotoxigenic Escherichia coli.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Joyce A LapaNaval Medical Research Center, 503 Robert Grant Avenue, Silver Spring, MD 20910-7500, USA. joyce.lapa@med.navy.mil
Stephanie A Sincock
Madhumita Ananthakrishnan
Chad K Porter
Frederick J Cassels
Carl Brinkley
Eric R Hall
John van Hamont
Joseph D Gramling
Colleen M Carpenter
S Baqar
David R Tribble
Naval Medical Research Command · USWalter Reed Army Institute of Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An oral, microencapsulated anti-colonization factor 6 antigen (meCS6) vaccine, with or without heat-labile enterotoxin with mutation R192G (LT(R192G)) (mucosal adjuvant), against enterotoxigenic Escherichia coli (ETEC) was evaluated for regimen and adjuvant effects on safety and immunogenicity. Sixty subjects were enrolled into a three-dose, 2-week interval or four-dose, 2-day interval regimen. Each regimen was randomized into two equal groups of meCS6 alone (1 mg) or meCS6 with adjuvant (2 microg of LT(R192G)). The vaccine was well tolerated and no serious adverse events were reported. Serologic response to CS6 was low in all regimens (0 to 27%). CS6-immunoglobulin A (IgA) antibody-secreting cell (ASC) responses ranged from 36 to 86%, with the highest level in the three-dose adjuvanted regimen; however, the magnitude was low. As expected, serologic and ASC LT responses were limited to adjuvanted regimens, with the exception of fecal IgA, which appeared to be nonspecific to LT administration. Further modifications to the delivery strategy and CS6 and adjuvant dose optimization will be needed before conducting further clinical trials with this epidemiologically important class of ETEC.

Indexed as

Adjuvants, ImmunologicAdministration, OralAdolescentAdultAntigens, BacterialBacterial ToxinsDiarrheaEnterotoxinsEscherichia coliEscherichia coli InfectionsEscherichia coli ProteinsEscherichia coli VaccinesFemaleHumansImmunoglobulin AMaleAdjuvants, ImmunologicAntigens, BacterialBacterial ToxinsCS6 antigen, E coliEnterotoxinsEscherichia coli ProteinsEscherichia coli Vaccinesheat-labile enterotoxin, E coliImmunoglobulin A

Identifiers

PMID18579693
PMCPMC2519302
OpenAlexW2100869121

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.