Evidence map›Paper›PMID 18951616›Full record

Trial reportThe Journal of allergy and clinical immunology2009

Antibody response to pneumococcal vaccination as a function of preimmunization titer.

Nathaniel D Hare, Brian J Smith, Zuhair K Ballas

Abstract readClinical Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Diagnostic Vaccination in Clinical Practice.Frontiers in immunology · 2021
    Article
  12. Article
  13. Relationship between asthma status and antibody response pattern to 23-valent pneumococcal vaccination.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Observational
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

3 authors.

Nathaniel D HareDivision of Allergy-Immunology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Brian J Smith
Zuhair K Ballas

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Mark E Burkard · 2000 to 2026
$70.0M
KILLER CELLS AND ALCOHOLR01AA014418 · NIAAA · UNIVERSITY OF IOWA · PI BALLAS, ZUHAIR K. · 2004 to 2008
$1.4M
NCI NIH HHS P30 CA086862NCI NIH HHS P30 CA086862-09NIAAA NIH HHS AA014418-06NIAAA NIH HHS R01 AA014418
6 · The paper itself

Abstract

backgroundThe interpretation of an adequate response to the unconjugated 23-valent pneumococcal vaccine for serotypes having high preimmunization titers remains challenging.

objectivesWe sought to determine whether high preimmunization titers preclude a 4-fold or greater response to vaccination. Moreover, we sought to determine the effect of the following covariates on this response: absolute preimmunization titer value, age, sex, serum IgG level, and serum IgG subclasses.

methodsWe conducted a retrospective analysis of patients who were seen in our immune disorders clinic between 2001 and 2007 who had received the unconjugated 23-valent pneumococcal vaccine. Logistic regression was used to estimate the effect of different covariates, including preimmunization titer values, age, sex, IgG levels, and IgG subclass values, on the odds of a 4-fold or greater antibody response.

resultsPer serotype, 10% to 40% of subjects with a high preimmunization titer attained at least a 4-fold response to vaccination. However, the odds of a 4-fold or greater response were found to decrease as a function of the absolute preimmunization titer value with an absolute value for each serotype beyond which the odds ratio approached zero.

conclusionHigh pneumococcal preimmunization titers do not necessarily preclude a 4-fold or greater response to vaccination. However, there appear to be serotype-specific preimmunization titer values, ranging from 4.4 to 10.3 microg/mL, above which a 4-fold or greater response would not be expected. This response does not seem to be significantly affected by age, sex, IgG level, or IgG subclass value.

Indexed as

VaccinationAdolescentAdultAgedAged, 80 and overAge FactorsAntibodies, BacterialAntibody FormationChildChild, PreschoolFemaleHumansImmunoglobulin GMaleMiddle AgedPneumococcal VaccinesAntibodies, BacterialImmunoglobulin GPneumococcal Vaccines

Identifiers

PMID18951616
PMCPMC3613280

What OpenQuestion holds

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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.