Evidence map›Paper›PMID 18808333›Full record

Trial reportThe Journal of infectious diseases2008

A new recombinant bacille Calmette-Guérin vaccine safely induces significantly enhanced tuberculosis-specific immunity in human volunteers.

Daniel F Hoft, Azra Blazevic, Getahun Abate, Willem A Hanekom, Gilla Kaplan, Jorge H Soler, Frank Weichold, Larry Geiter, Jerald C Sadoff, Marcus A Horwitz

Open access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
7.8field-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

79 citing papers in PubMed, 1 synthesis or guideline pooled it, 178 citations in OpenAlex.

  1. Vaccine against tuberculosis: what's new?BMC infectious diseases · 2014
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. IFN-γ-Driven macrophage responses in the immunity toFrontiers in cellular and infection microbiology · 2025
    Review
  9. Assays for AssessingPathogens (Basel, Switzerland) · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Microneedle-Mediated Immunization Promotes Lung CD8+ T-Cell Immunity.The Journal of investigative dermatology · 2023
    Article
  14. The Induction of Antigen 85B-Specific CD8International journal of molecular sciences · 2023
    Article
  15. Review
  16. Review
  17. mBio · 2022
    Article
  18. Review
  19. Pathological and protective roles of dendritic cells inFrontiers in cellular and infection microbiology · 2022
    Review
  20. Peptide-Based Vaccines for Tuberculosis.Frontiers in immunology · 2022
    Review

19 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 2 countries.

Daniel F HoftDepartment of Internal Medicine and Molecular Biology, Saint Louis University Medical Center, and Center for Vaccine Development, Saint Louis, MO 63104, USA. hoftdf@slu.edu
Azra Blazevic
Getahun Abate
Willem A Hanekom
Gilla Kaplan
Jorge H Soler
Frank Weichold
Larry Geiter
Jerald C Sadoff
Marcus A Horwitz
Aeras · USSaint Louis University · USSouth African Tuberculosis Vaccine Initiative · ZAUniversity Medical Center · USUniversity of California, Los Angeles · US

Funding

IMMUNOPROTECTIVE DETERMINANTS OF M TUBERCULOSIS IN AIDSR01AI031338 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HORWITZ, MARCUS AARON · 1991 to 2010
$6.3M
Role of gammadelta T Cells in Vaccine-Induced ImmunityR01AI048391 · NIAID · SAINT LOUIS UNIVERSITY · PI HOFT, DANIEL F. · 2002 to 2019
$6.1M
EVALUATION OF CONTROL MEASURES AGAINST DISEASES OTHER THAN AIDS-266025464N01AI025464 · NIAID · SAINT LOUIS UNIVERSITY · PI CHAPLESKI, ELIZABETH · 2003 to 2006
–
NIAID NIH HHS N01 AI025464NIAID NIH HHS N01-AI-25464NIAID NIH HHS R01 AI031338NIAID NIH HHS R01 AI048391NIAID NIH HHS R01-AI-31338NIAID NIH HHS R01-AI-48391
6 · The paper itself

Abstract

backgroundOne strategy for improving anti-tuberculosis (TB) vaccination involves the use of recombinant bacille Calmette-Guérin (rBCG) overexpressing protective TB antigens. rBCG30, which overexpresses the Mycobacterium tuberculosis secreted antigen Ag85b, was the first rBCG shown to induce significantly greater protection against TB in animals than parental BCG.

methodsWe report here the first double-blind phase 1 trial of rBCG30 in 35 adults randomized to receive either rBCG30 or parental Tice BCG intradermally. Clinical reactogenicity was assessed, and state-of-the-art immunological assays were used to study Ag85b-specific immune responses induced by both vaccines.

resultsSimilar clinical reactogenicity occurred with both vaccines. rBCG30 induced significantly increased Ag85b-specific T cell lymphoproliferation, interferon (IFN)-gamma secretion, IFN-gamma enzyme-linked immunospot responses, and direct ex vivo intracellular IFN-gamma responses. Additional flow cytometry studies measuring carboxyfluorescein succinimidyl ester dilution and intracellular cytokine production demonstrated that rBCG30 significantly enhanced the population of Ag85b-specific CD4(+) and CD8(+) T cells capable of concurrent expansion and effector function. More importantly, rBCG30 significantly increased the number of Ag85b-specific T cells capable of inhibiting intracellular mycobacteria.

conclusionsThese results provide proof of principal that rBCG can safely enhance human TB immunity and support further development of rBCG overexpressing Ag85b for TB vaccination.

Indexed as

AdultAntibodies, BacterialAntigens, BacterialBCG VaccineEpitopes, T-LymphocyteFemaleHumansInterferon-gammaMaleMycobacterium tuberculosisRecombinant Fusion ProteinsT-LymphocytesTuberculosisVaccines, SyntheticYoung AdultAntibodies, BacterialAntigens, BacterialBCG VaccineEpitopes, T-LymphocyteInterferon-gammaRecombinant Fusion ProteinsVaccines, Synthetic

Identifiers

PMID18808333
PMCPMC2670060
OpenAlexW2100897644

What OpenQuestion holds

Textmetadata
LicenceTDM
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.